Search for: "HUMANA INSURANCE COMPANY"
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15 Feb 2024, 5:14 am
” Class action lawsuits have been filed against UnitedHealth and Humana for using NaviHealth’s algorithm. [read post]
8 Feb 2024, 8:23 pm
Ars Technica: “Health insurance companies cannot use algorithms or artificial intelligence to determine care or deny coverage to members on Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) clarified in a memo sent to all Medicare Advantage insurers. [read post]
19 Jan 2024, 7:09 am
The Capitol Forum sought Erica Blachman Hitchings’ perspective on the case in which Humana, the second largest Medicare Advantage insurance provider in the country, sued the U.S. government to block the Medicare clawback rule. [read post]
11 Dec 2023, 5:05 am
The potential $60 billion merger between health insurance giants Cigna and Humana, as well as other sizable transactions across various industries, underscore this trend. [read post]
7 Jul 2023, 3:03 pm
Some of the largest health insurance companies regularly deny what are otherwise valid and covered claims: Kaiser Permanente UnitedHealthcare Aetna Anthem Humana Blue Cross Blue Shield Insurance companies also often choose to deny claims because of the cost, even when a treatment or procedure should otherwise be covered. [read post]
21 Jun 2023, 7:41 am
” “Then in 2017, Crowell sent a ‘pitch’ document to Humana arguing that Walgreens and other pharmacies had overcharged the insurer because the savings club prices were not treated as usual and customary. [read post]
21 Jun 2023, 7:41 am
” “Then in 2017, Crowell sent a ‘pitch’ document to Humana arguing that Walgreens and other pharmacies had overcharged the insurer because the savings club prices were not treated as usual and customary. [read post]
2 Jun 2023, 7:54 am
The tech giant is teaming with U.S. healthcare insurer Humana to develop that feature. [read post]
8 May 2023, 5:00 am
Under the Medicare Part C or Medicare Advantage (MA) program, the Centers for Medicare & Medicaid Services (CMS) contract with Medicare Advantage Organizations (MAOs), typically private insurance companies, that administer MA health plans to Medicare beneficiaries as an alternative to traditional Medicare. [read post]
29 Apr 2023, 4:00 am
Unfortunately, this is precisely what happened to Michael Swinea after Humana Inc. bought Kanawha Insurance Company. [read post]
3 Mar 2023, 10:17 am
§1349. billing various healthcare benefit programs through claims administrators Humana, CIGNA and United Healthcare for $4.7 million for services never provided. [read post]
8 Feb 2023, 2:30 pm
(E.g., Humana Inc. v. [read post]
26 Oct 2022, 5:45 pm
On May 26, 2022, following reports that patients were facing barriers to accessing birth control without cost-sharing, Chairwoman Maloney sent letters to health insurers UnitedHealth, Anthem, Aetna, Cigna, and Humana and pharmacy benefit managers CVS Caremark, Express Scripts, OptumRx, and Prime Therapeutics, requesting information regarding zero-cost coverage of contraceptives and related services for individuals enrolled in private health plans, as required by the ACA. [read post]
8 Jul 2022, 8:02 am
” “Walgreens last year sued Crowell & Moring in District of Columbia Superior Court to immediately stop the large law firm from representing insurer Humana Health Plan Inc in an arbitration with Walgreens over drug pricing, contending Crowell, as its former firm, has violated its ethical duty. [read post]
9 Jun 2022, 5:07 am
Humana Insurance Company, Inc., 2021 IL 126008 (IL 2021) Substituting without really substituting Additionally, some judges in Cook County’s 1st district (The Daley Center) are on a team calendar (A collection of 5 judges who could possibly hear your case with a primary judge assigned to it). [read post]
30 Apr 2022, 12:02 pm
See Humana Health Plans v. [read post]
15 Nov 2021, 9:00 am
., is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. [read post]
14 Apr 2021, 8:07 am
“Crowell Denies ‘Blatant’ Ethics Breach as Walgreens Broadens Lawsuit” — “Lawyers for Walgreens on Tuesday filed an amended complaint that asked a District of Columbia Superior Court judge to disqualify Crowell from an arbitration proceeding in which the firm is representing the insurance carrier Humana Inc. against Walgreens. [read post]
16 Mar 2021, 7:59 am
Corzine was terminated by United in a corporate reorganization and then went to work for a competitor, Humana, Inc., during the time that both companies were competing under a Request for Applications (RFA) for contracted Medicare services. [read post]
9 Feb 2021, 10:14 am
Pharmaceutical company, Roche, and Medicare Advantage insurer, Humana, have agreed to pay $12.5 million to resolve allegations that the companies violated the anti-kickback statute. [read post]
