Federal Judge Rejects Blue Cross' Motion To Compel In Governments' Antitrust Suit

DETROIT - Blue Cross Blue Shield of Michigan (BCBS) is not entitled to information related to pre-complaint investigations conducted by the U.S. Department of Justice, a federal judge in Michigan ruled May 30 in an action filed by the DOJ and the State of Michigan that sought to enjoin BCBS from including...

3rd Circuit: Distributors, Not GPO Members, Are Direct Purchasers With Standing

PHILADELPHIA - Wholesale distributors, not health care providers, are direct purchasers of hypodermic products with standing to pursue claims that the manufacturer of those products violated the Sherman Act by entering into agreements with group purchasing organizations (GPOs) and other medical device...

Court Affirms, Reverses Antitrust Case Over Payment For Chiropractic Services

DES MOINES, Iowa - The Iowa Supreme Court on July 27 affirmed in part and reversed in part a lower court decision granting judgment in favor of insurance companies in a putative class action brought by a group of chiropractic doctors who allege that they were wrongfully paid lower rates for their services...

Dismissal Of Case Challenging Inclusion Of Maternity Benefits In Policy Affirmed

LOS ANGELES - A California appeals court on Aug. 15 in an unpublished decision affirmed the dismissal of a putative class action complaint alleging that insurance companies improperly sold health care coverage without informing members that maternity benefits were included and that health care coverage...

Nonparty Subpoena In Antitrust Case Is 'Overly Burdensome,' Judge Rules

HAMMOND, Ind. - Blue Cross Blue Shield of Michigan (BCBS) cannot compel a nonparty hospital to produce documents in an antitrust action brought by the U.S. Department of Justice and the State of Michigan seeking to enjoin BCBS from including "most favored nation" (MFN) clauses in its contracts...

Blue Cross, Hospitals Ordered To Produce Documents In Federal Antitrust Suit

DETROIT - A Michigan federal magistrate judge on Oct. 1 ordered Blue Cross Blue Shield of Michigan and two nonparty hospitals to produce documents to the U.S. Department of Justice and the state in an action seeking to enjoin Blue Cross from including "most favored nation" (MFN) clauses in...

Provider's Misrepresentation Claims Not ERISA Preempted, Calif. Federal Judge Says

SAN DIEGO - A health-care provider's claims against insurers alleging that the insurers misappropriated his name and made misrepresentations to his patients by holding him out as a contracted provider, which negatively impacted his ability to recover additional amounts owed under his contracts with...

Michigan Federal Judge Declines To Dismiss Health Insurance Antitrust Case

DETROIT - A Michigan federal judge on Nov. 30 declined to dismiss a class action lawsuit alleging that a health insurance company's conduct of incorporating "most favored nation" (MFN) clauses into its contracts with hospitals results in antitrust violations; the judge said the plaintiffs...

Preliminary Approval Of Settlement In Out-Of-Network Reimbursement MDL Sought

NEWARK, N.J. - Parties involved in a multidistrict litigation case in which defendants are accused of manipulating the rates for which they reimburse out-of-network medical providers filed a joint motion on Dec. 7 asking a New Jersey federal judge to preliminarily approve a settlement valued up to $120...

Health Insurance Purchasers May Drop $4.8M Settlement Of Antitrust Litigation

PITTSBURGH - A federal judge in Pennsylvania on May 7 permitted purchasers of health insurance from Highmark Inc. to withdraw their motion for preliminary approval of their settlement with Highmark of their antitrust claims, where the purchasers argued that Highmark failed to disclose information that...

Antitrust, Some ERISA Claims Dismissed From Wellpoint Reimbursement MDL

LOS ANGELES - A federal judge in California on July 19 dismissed antitrust and other claims alleging that WellPoint Inc. and other companies conspired to use a flawed database to set the rates for which out-of-network medical services (ONS) are reimbursed (In re: WellPoint Inc. Out-Of-Network "UCR"...

California Federal Judge Partially Grants Arbitration In Drug Trade Secret Suit

SAN FRANCISCO - A California federal judge on July 22 granted in part and denied in part a motion to compel arbitration in a class action lawsuit, alleging that a pharmacy benefit management company (PBM) and its related entities made unauthorized disclosures of customer information (Uptown Drug Company...

Ohio Federal Judge Grants In Part Motions To Compel Against Non-Party

DAYTON, Ohio - Non-party Community Insurance Co., doing business as Anthem Blue Cross and Blue Shield (Anthem), must produce certain documents regarding its deliberations not to contract with a medical center in the medical center's lawsuit claiming that it was denied contracts with managed care...

Federal Judge Rules On Expert Testimony, Access In Merger Trial

BOISE, Idaho - The federal judge in Idaho overseeing the trial involving an antitrust challenge to a consummated merger between a hospital system and a physician group on Oct. 18 refused to exclude certain expert testimony regarding the impact of unwinding the merger and ruled that the Associated Press'...