Indianapolis-based Elevance Health Inc. must face a federal lawsuit alleging that the company defrauded the U.S. government of millions of dollars by falsely certifying incorrect diagnosis data from doctors and other health providers.
For five years, health insurer Anthem Inc. has tried to clamp down on what it considered unnecessary, expensive visits to emergency rooms by denying claims or downgrading reimbursements for ER visits that turned out not to be life-threatening. But now, that policy has come back to bite the Indianapolis-based company.
Federal regulators are suing to block UnitedHealth Group’s purchase of technology company Change Healthcare, a deal they fear will put too much health care claims information in the hands of one company.
A jury verdict against a fired Anthem, Inc. executive will stand after the Indiana Court of Appeals declined to overturn the denial of the former insurance exec’s requests for a new trial.
Anthem Inc. has agreed to pay a group of states $39.5 million to settle claims the health insurer failed to safeguard its data, a breach that led to a massive computer hacking in 2015 that compromised the private information of 78.8 million customers and former customers.
A Delaware judge rebuffed efforts by both Cigna Corp. and Anthem Inc. to collect billions over their failed merger, saying Cigna had breached its obligations but the merger was likely to have been blocked on antitrust grounds anyway.
A new lawsuit alleges that Indianapolis-based Anthem Inc., one of the nation’s largest providers of Medicare Advantage plans for seniors, defrauded the U.S. government of millions of dollars over four years by falsely certifying the accuracy of incorrect diagnosis data from doctors and other health providers.
A federal judge late last week awarded plaintiffs’ lawyers $31.05 million in legal feels in the Anthem Inc. data breach case, ending a months-long dispute over how much they deserved for striking the $115 million settlement last year. The fees were less than the $38 million the attorneys originally had requested.