From a former healthcare executive pleading guilty in a fraud scheme to a policyholder suing Cigna over home healthcare charges, these are the latest healthcare industry lawsuits making headlines.
1. Former Cleveland Clinic executive pleads guilty in $2.7M fraud scheme
The former executive director of Cleveland Clinic Innovations, the development and commercialization arm of Cleveland Clinic, pleaded guilty to his role in a conspiracy to defraud the hospital system out of more than $2.7 million.
2. Cigna faces lawsuit alleging inflated home healthcare charges
A policyholder alleged Cigna artificially inflated home healthcare prices to pocket consumers' overpayments.
3. Hartford HealthCare sues Anthem over emergency services reimbursement arrangement
Hartford (Conn.) HealthCare Corp. sued Anthem Blue Cross and Blue Shield over allegations the insurer changed its emergency care reimbursement policies after the two failed to reach a provider agreement.
4. ACLU sues PeaceHealth for not covering transgender care
The American Civil Liberties Union of Washington filed a discrimination lawsuit against Vancouver, Wash.-based PeaceHealth for refusing to cover a medically necessary gender reassignment surgery for an employee's son under its health plan.
5. Federal judge tosses lawsuit accusing UnitedHealth of overbilling Medicare
A federal judge rejected a lawsuit filed by the Department of Justice alleging UnitedHealth Group inflated government reimbursement by submitting information that made Medicare Advantage members appear sicker than they were.
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