Aetna Inc. has agreed to pay $117.7 million to settle claims that the company violated the False Claims Act by submitting, and failing to correct, false diagnosis codes for its Medicare Advantage plan customers in order to boost cash flow from the federal insurance program, the U.S. attorney's office in Philadelphia said Wednesday.
Aetna Inc. has agreed to pay $117.7 million to settle claims that the company violated the False Claims Act by submitting, and failing to correct, false diagnosis codes for its Medicare Advantage plan customers in order to boost cash flow from the federal insurance program, the U.S. attorney's office in Philadelphia said Wednesday.
A commercial general liability insurer can only owe a maximum of $100,000 in total for abuse alleged in four lawsuits against a gym for a personal trainer's sexual misconduct, a Tennessee federal court ruled, saying that the claims fell under an abuse endorsement.
An Ohio hospital and its health benefit plan did not discriminate against patients with end-stage renal disease by eliminating in-network coverage for dialysis, a federal court ruled, finding that dialysis provider DaVita Inc. failed to show the plan intended to harm participants.
An AIG unit said it has no duty to defend or indemnify a management company accused of causing $8 million in losses to a South Carolina nonprofit hospital system, telling a Texas federal court that the company knew about the losses before its policy's inception.
An insurance trade group challenging the U.S. Department of Labor's regulations expanding the definition of an investment advice fiduciary under the Employee Retirement Income Security Act asked a Texas judge Wednesday to vacate the policies and said the DOL didn't oppose the request.
Anthem Blue Cross Blue Shield of Connecticut has prevailed in a medical laboratory's $1.9 million contract and ERISA lawsuit over allegations the insurer refused to pay for out-of-network tests.
Allstate told a Texas federal court in a lawsuit seeking at least $25.8 million that two chiropractors and their associated healthcare entities operated a racketeering enterprise to make money from automobile accident personal injury settlements.
Pennsylvania Manufacturers Association Insurance Co. is asking the city of New Haven, Connecticut, to repay nearly $3.6 million for settling two lawsuits surrounding the deaths of two rooming house residents in a fire, arguing the city breached an agreement to notify the insurer of any litigation.
The Catholic Diocese of El Paso filed for Chapter 11 relief in Texas as it faces 12 pending sexual abuse lawsuits from 18 plaintiffs involving allegations from 1956 to 1982.
Sidley Austin LLP continues expanding its California team, bringing in another Cooley LLP lawyer — this one a corporate and securities expert — as a partner in its San Diego office.
The nomination of Melissa Holyoak, former commissioner of the Federal Trade Commission, to be U.S. attorney for the District of Utah was sent to the full Senate on Thursday.
The pass rate for first-time takers who sat for the bar exam rose by more than a percentage point last year over 2024, according to statistics released by the American Bar Association.
The State Bar of California has bulked up its breach of contract and fraud suit against the administrator of its "disastrous" February 2025 bar exam, filing an amended complaint in light of information it says it learned from internal communications unearthed amid discovery.
Sheppard Mullin Richter & Hampton LLP has rehired one of its former business litigators in Los Angeles following his stint as the legal leader of boutique family office Point Break Capital LLC.
Two Democratic lawmakers have asked the U.S. Department of Justice's inspector general to review whether Attorney General Pam Bondi "adequately recused herself" from cases involving clients represented by her brother Brad Bondi, who is a partner at Paul Hastings LLP.
A Colorado solo practitioner found to have mismanaged client funds, operated under unclear fee agreements and "ignored" reasonable inquiries from clients has been disbarred and ordered to pay back nearly $12,000 in restitution.
The Fourth Circuit has reprimanded an attorney suspected of using generative artificial intelligence to draft briefs in a race discrimination lawsuit against Baltimore Gas and Electric Co., warning that courts need to grapple with the technology as it "may soon become the norm."
A Fort Collins, Colorado, trial law firm alleged in state court that a Denver personal injury firm has not paid it $120,000 in fees the trial firm says it is owed for legal work it performed for the PI firm.
