Anthem

Judge Dismisses Two Express Scripts Claims in Anthem Drug Pricing Lawsuit

A federal judge has dismissed two of the six counterclaims that pharmacy benefits manager Express Scripts raised in health insurer’s Anthem’s $15 billion lawsuit claiming it charged too much for drugs. In a decision made public on Friday, U.S. District Judge Edgardo Ramos in Manhattan dismissed Express Scripts’ claim that Anthem breached an implied covenant of good faith and fair dealing, …


Those Suing Anthem Seek Security Audit Documents

Plaintiffs suing Anthem Inc. in the wake of a cyberattack that exposed information on nearly 80 million individuals in 2015 want a court to open the door to revealing more of the results of audits of the insurer …


Anthem Is Cutting Out-Of-Network Health Coverage in a ‘Bait and Switch,’ Lawsuit Says

On the first day of Obamacare open enrollment, a consumer group sued Anthem Blue Cross for attempting to automatically renew policies that no longer cover out-of-network costs for hundreds of thousands of Californians. A lawyer for Consumer Watchdog said Tuesday that Anthem was “railroading existing members into bare-bones plans” without properly disclosing the change to them in recent renewal …


Consumer Group Sues Anthem Blue Cross for Allegedly Misleading Consumers on 2017 Health Plans

Calling it a classic “bait and switch,” a California consumer group on Tuesday lashed out at Anthem Blue Cross of California, claiming it failed to adequately warn customers they were being shifted in 2017 to brand-new, stripped-down plans. Santa Monica-based Consumer Watchdog announced it has filed a class action lawsuit against the health insurance giant after Anthem moved hundreds of …


Months Later, Cigna Responds to DOJ Antitrust Lawsuit

Health insurer Cigna answered the U.S. Department of Justice’s lawsuit against the insurer and its proposed acquirer Anthem Monday, two months after the department sued the payer over antitrust concerns. In the DOJ’s lawsuit, the department claimed Indianapolis-based Anthem and …


In Answer to DOJ Lawsuit, Anthem Argues Cigna Deal Would Boost ACA Exchanges

Anthem threw punches back at the U.S. Justice Department’s attempt to block the insurer’s acquisition of Cigna Corp. The response signals Anthem will indeed litigate the case to the end even though many analysts and policy experts say the company is unlikely to win In a newly filed legal response, Anthem’s lawyers argued the deal to buy Cigna is “procompetitive” and specifically would allow …


Class Action Says Anthem Refuses to Cover Brand-Name Medication

A class action lawsuit charges that Anthem Blue Cross refuses to cover name-brand medication, even when there is no equivalent generic or the generic is ineffective. In the suit, K.F. Petty says that in 2007, her doctor prescribed a medication described in the suit as “Drug X” to protect her privacy.



California Employers Push Back Over Health Care Arbitration Agreements

Chad Terune, Kaiser Health News Sutter Health, long accused of abusing its market power in California, is squaring off against major U.S. employers in a closely watched legal fight over health care competition and high prices. The latest fight has erupted over Sutter’s demand that employers sign an arbitration agreement to resolve disputes. Without it, Sutter says employers must pay sharply …


Are Health Hackers the New Cyber Security Threat?

Last January an administrator at health insurer Anthem noticed an unusually complex query running on the computer network. It looked like a colleague was responsible, but a quick check revealed that it was coming from somewhere else. Minutes later, Anthem was in crisis mode.