I'm a litigation reporter for Connecticut Law Tribune, covering litigation wins, verdict news, settlements, interesting cases, etc. Contact me with tips at [email protected].
The health fund for the International Union of Operating Engineers is suing Eli Lilly, Novo Nordisk and Sanofi, as well as CVS Health and other PBMs, for "drastically" increasing the price of life-saving meds for "illicit profits."
The Connecticut-based health insurer was hit with another class action suit, alleging that once Cigna's PxDx algorithm denies claims, its medical doctors confirm the denials, without checking the patients' medical history.
In a lawsuit, a disabled worker alleges Electric Boat Corp. did not provide reasonable accommodations for his disabilities and he was ultimately fired for non-compliance with the company's post-COVID return-to-office policy.
When Cigna released its second-quarter financial performance on Aug. 5, 2021, its stock dropped by 13%, and Ferrie "realized an approximately 236% profit of $16,039.78 on his investment of $6,782.05," the complaint said.
Employees with long COVID-19 symptoms can suffer from chronic fatigue, brain fog and difficulty breathing, but employers that refuse to provide an accommodation to these workers could lead to a spike in workplace claims.
The insurer did not give an explanation for the reversal of coverage for a midwife, leaving a couple with no recourse after exhausting all processes within the claims processing, including a formal appeal, which was denied.
The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna participated in a "fraudulent scheme" that overcharged its members, says the complaint.
Though the drug chains have not admitted to wrongdoing, CVS would pay $5 billion while Walgreens would pay $5.7 billion to states and local governments for opioid crisis abatement and remediation programs.
Employers claim that the health care company, now known as Elevance Health, breached its fiduciary duties under ERISA because they were denied access to plan claims due to mismanagement of funds.
"Our priority, our duty should be to Connecticut families and residents and small businesses, to protect them to make sure they don't have to pay more for health insurance and health care than they have to," Attorney General William Tong said. "And to ask, and to even require, the health insurance companies here today to do all they can to really serve their customers and not just extract as much as they can."
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"uri": "/2024/04/25/civil-rico-suit-accuses-big-pharma-and-benefit-managers-of-insulin-price-fixing-412-166489/",
"title": "Big Pharma and pharmacy benefit managers sued for insulin price-fixing",
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"summary": "The health fund for the International Union of Operating Engineers is suing Eli Lilly, Novo Nordisk and Sanofi, as well as CVS Health and other PBMs, for \"drastically\" increasing the price of life-saving meds for \"illicit profits.\"",
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"uri": "/2024/03/13/cigna-class-action-algorithm-allegedly-auto-denies-300000-claims-412-163851/",
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"byline": "Emily Cousins",
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"summary": "The Connecticut-based health insurer was hit with another class action suit, alleging that once Cigna's PxDx algorithm denies claims, its medical doctors confirm the denials, without checking the patients' medical history.",
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"uri": "/2023/10/30/fired-for-not-returning-to-the-office-employee-alleges-discrimination-412-156859/",
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"summary": "In a lawsuit, a disabled worker alleges Electric Boat Corp. did not provide reasonable accommodations for his disabilities and he was ultimately fired for non-compliance with the company's post-COVID return-to-office policy.",
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"uri": "/2023/09/20/ex-cigna-employee-pays-33000-to-settle-insider-trading-charges-412-154753/",
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"summary": "When Cigna released its second-quarter financial performance on Aug. 5, 2021, its stock dropped by 13%, and Ferrie \"realized an approximately 236% profit of $16,039.78 on his investment of $6,782.05,\" the complaint said.",
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"uri": "/2023/05/04/health-insurers-face-erisa-lawsuit-for-allegedly-reversing-an-approved-claim-412-147585/",
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"summary": "The insurer did not give an explanation for the reversal of coverage for a midwife, leaving a couple with no recourse after exhausting all processes within the claims processing, including a formal appeal, which was denied.",
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"summary": "The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna participated in a \"fraudulent scheme\" that overcharged its members, says the complaint.",
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"title": "CVS, Walgreens agree to pay $10.7 billion to 17 states to settle opioid prescription lawsuits",
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"summary": "Employers claim that the health care company, now known as Elevance Health, breached its fiduciary duties under ERISA because they were denied access to plan claims due to mismanagement of funds.",
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"summary": "\"Our priority, our duty should be to Connecticut families and residents and small businesses, to protect them to make sure they don't have to pay more for health insurance and health care than they have to,\" Attorney General William Tong said. \"And to ask, and to even require, the health insurance companies here today to do all they can to really serve their customers and not just extract as much as they can.\"",
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