Congress is debating current laws, which allow HMOs to be sued, but only for the cost of treatment, not punitive damages.
Health insurance companies are demanding doctors prescribe generic drugs in an effort to lower healthcare costs. Generic drugs are cheaper for patients, but limit their options.
The U.S. Equal Employment Opportunity Commission has sued Empire Blue Cross Blue Shield, after two Long Island employees were allegedly discriminated against due to their age.
Jury awards a verdict of $7.4 million against HMO and physicians accused of medical negligence in a wrongful death lawsuit.
A Baton Rouge jury awarded $222.2 million in damages to Texas creditors trying to get the bills paid after HealthNet of California was found liable for creating problems by engaging in deceptive practices.
WellPoint Inc. settled a national racketeering lawsuit on Monday filed by 700,000 physicians in a Miami federal court, agreeing to give doctors more say in the type of treatments the health insurance company will pay.
AMN Healthcare, Inc. and UCSF Medical Center agreed to a $6 million settlement in a medical malpractice lawsuit after being accused of leaving a former patient a brain-damaged quadriplegic.
Health Net along with other HMOs want the the Schwarzenegger Administration's Department of Managed Health Care to be responsible for making sure that patients rights are protected by enforcing state consumer protection laws.
In a case currently under review by the Supreme Court, Robert Cohen is accusing Health Net of fraud, insurance bad faith, and unfair business practices after the company refused to pay his emergency room bills.
A new step-by-step guide informs HMO subscribers how to successfully handle disputes with their insurance company when a medical claim is rejected.
A judge in Hennepin County, Minnesota must settle a dispute between Attorney General Mike Hatch and Medica, a decision, which could put the Attorney General in charge of the non-profit HMO if board members are found guilty of abusing their status.
The state medical society of Minnesota is suing UnitedHealth Group for a new contract policy that violates state law.
Physicians are suing Blue Cross and Blue Shield of Illinois, claiming that the insurance provider owes them over $1 million.
The U.S. attorney's office in Chicago is intervening in a whistleblower lawsuit accusing an Illinois HMO of defrauding the Medicaid health insurance program for the poor.
Settlements for two health care companies have been approved in a massive class action lawsuit between doctors across the country and ten of the nation's largest HMOs.
Humana, Inc., an HMO, pays both active and retired doctors with a $40 million settlement.
The state of Connecticut is looking into health insurance companies to find out if they are illegally collecting money for reimbursement of care from members who have received personal injury awards in court.
A mother whose daughter died of cancer after being misdiagnosed by several doctors is trying to change the law to require HMOs to report all negligent doctors to the state.
Family sues Health Net when they refuse care to a four-year-old with a rare form a dwarfisim.
After an eight-month battle with the family of a boy suffering from a rare bone disease, Healthnet has agreed to provide coverage for a visit to a specialist.
As the population in California continues to become more diverse, HMOs are recognizing the need for language interpreters.
A Spanish-speaking family is suing Blue Cross for refusing to cover their medical expenses on a policy the HMO wrote in English.
Humana, Inc., which owes physicians $40 million and plaintiff attorneys a maximum of $18 million as the result of a class-action lawsuit, is prolonging payment until appeals are resolved.
Kaiser Permanente suspended its kidney transplant program after a lawsuit was filed by the widow of a man who allegedly died as a result of a mistake made by the company.
A man is suing Kaiser Permanente for insurance bad faith and breach of contract after he was unable to arrange a kidney transplant.
A class-action lawsuit against UnitedHealth Group Inc. and Coventry Health Care was dismissed in court on Monday.
Concluding a five-year federal investigation, Schering-Plough Corp. agreed on Tuesday to pay $435 million and plead guilty to conspiracy after being accused of marketing drugs for unapproved uses and overcharging Medicaid for certain drugs.
Kaiser Permanente agreed to pay a $2 million fine and give $3 million to an organ donor program after state regulators concluded the HMO mismanaged its kidney transplant center and endangered patients’ lives.
Fighting allegations that it illegally dumped sick policyholders to avoid paying claims, Blue Cross of California announced Tuesday that it is changing some of its methods for canceling individual health insurance policies.
On Monday, a Chicago federal jury ordered Amerigroup Corp. to pay $48 million in damages for discriminating against pregnant women and other Medicaid-eligible applicants. The amount was automatically tripled under the federal False Claims Act.
On Wednesday a New Jersey couple filed suit against Hartford, Connecticut-based Aetna Inc., accusing the HMO of refusing to fully cover their daughter’s inpatient anorexia treatments.
In a settlement reached with the city of Los Angeles on May 15, Kaiser Permanente has agreed to create new protocols for releasing homeless patients from its hospitals.
According to a UCLA study released Wednesday, fewer than half of California residents currently receive insurance benefits through their employers. The rest are either covered through a spouse or government program, or remain uninsured.
A managed health care company in Georgia was hit with a $3.7 million fine last week for failing to meet contractual obligations and provide timely authorizations for critical services.
On Friday Sept. 21, the parents of a severely premature baby tried to have Kaiser Permanente move their son to another San Diego hospital in hopes of ensuring his survival.
A New Jersey Superior Court ruled last month that the state's largest health insurer breached its contract with a cardiologist by dismissing him as a participating physician with the company.
On Oct. 11, Sheriff’s deputies entered the Omaha home of Mary and Josue Anaya to seize their 6-week-old baby against their will for blood testing. The couple sued health officials, believing their rights were violated.
An Oregon woman has filed a lawsuit claiming that an insurance company refused to pay for her gallbladder surgery because she is Hispanic.