News

UNITEDHEALTH GROUP REPORTS STRONG PROFITS FOR THE SECOND QUARTER OF 2024

UnitedHealth Group (“United”) has reported strong revenues and profits for the second quarter of 2024, beating analysts’ expectations. United posted revenues of $98.9 billion for the second quarter of 2024, up $6 billion from the prior year quarter revenues of $92.9 billion. United also posted profits of $4.2 billion for the second quarter. United attributed […]

UNITEDHEALTH GROUP REPORTS STRONG PROFITS FOR THE SECOND QUARTER OF 2024 Read More »

AMA ARTICLE HIGHLIGHTS OIG FINDINGS THAT MEDICARE ADVANTAGE PLANS DELAY AND DENY PATIENTS’ ACCESS TO CARE

In an article entitled How Medicare Advantage plans wrongly deny prior auth requests, the American Medical Association highlights findings from a recent Department of Health and Human Services Office of the Inspector General Report. The OIG Report found that 13% of the sampled prior authorization requests denied by Medicare Advantage plans met Medicare’s clinical coverage

AMA ARTICLE HIGHLIGHTS OIG FINDINGS THAT MEDICARE ADVANTAGE PLANS DELAY AND DENY PATIENTS’ ACCESS TO CARE Read More »

CLASS ACTION LAWSUIT ALLEGES PARTNERSHIP HEALTHPLAN OF CALIFORNIA ALLOWED DATA OF UP TO 850,000 ENROLLEES TO BE SUBJECT TO RANSOMWARE ATTACK

On May 5, 2022, a member of Partnership HealthPlan of California (“PHC”) filed a class action lawsuit in Humboldt County Superior Court challenging PHC’s failure to adequately store and protect sensitive medical information of up to 850,000 enrollees.  Among other things, the Complaint alleges violations of the Information Practices Act of 1977; the Confidentiality of

CLASS ACTION LAWSUIT ALLEGES PARTNERSHIP HEALTHPLAN OF CALIFORNIA ALLOWED DATA OF UP TO 850,000 ENROLLEES TO BE SUBJECT TO RANSOMWARE ATTACK Read More »

HHS INSPECTOR GENERAL REPORT FINDS THAT MEDICARE ADVANTAGE PLANS DENIED PRE-AUTHORIZATION REQUESTS AND DENIED PAYMENT FOR MEDICALLY NECESSARY CARE

The Department of Health and Human Services Office of the Inspector General (OIG) has issued a report entitled Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care (“the Report”).  The OIG conducted its investigation as a result of its concern that the government’s payment to Medicare

HHS INSPECTOR GENERAL REPORT FINDS THAT MEDICARE ADVANTAGE PLANS DENIED PRE-AUTHORIZATION REQUESTS AND DENIED PAYMENT FOR MEDICALLY NECESSARY CARE Read More »

MEDICAL INFORMATION POTENTIALLY ACCESSED FOR PATIENTS ENROLLED IN SUPERCARE HEALTH IN CALIFORNIA

On March 25, 2022, SuperCare Health (“SuperCare”) reported that from July 23 to July 27, 2021, an unknown party had access to certain computer systems on the SuperCare network. The company reported on February 4, 2022 that some consumer information was potentially accessed, but did not reveal until March 25, 2022, that the incident had

MEDICAL INFORMATION POTENTIALLY ACCESSED FOR PATIENTS ENROLLED IN SUPERCARE HEALTH IN CALIFORNIA Read More »

ANTHEM POSTS STRONG FIRST QUARTER 2022 PROFITS, BEATING ANALYSTS’ EXPECTATIONS

Anthem, Inc. reported strong profits of $2.4 billion for the first quarter of 2022, an increase of 13.2% over the prior year quarter. Anthem’s operating revenues were also sharply up, growing 18% over the prior year quarter to $37.9 billion. Anthem’s adjusted net income was $8.25 per share, beating analysists’ expectations. In addition, Anthem reported

ANTHEM POSTS STRONG FIRST QUARTER 2022 PROFITS, BEATING ANALYSTS’ EXPECTATIONS Read More »

DESPITE THE PANDEMIC BLUE CROSS BLUE SHIELD EXECUTIVES PAID MILLIONS IN BONUSES

An investigative report by WRAL in Durham, North Carolina has reported that despite the Pandemic, Blue Cross and Blue Shield of North Carolina (BCBSNC) has reported strong profits and has paid its top executives millions in bonuses. In 2021, BCBSNC, a not-for-profit corporation, reported annual revenue of $10.7 billion and net revenue or profit of

DESPITE THE PANDEMIC BLUE CROSS BLUE SHIELD EXECUTIVES PAID MILLIONS IN BONUSES Read More »

PARTNERSHIP HEALTHPLAN OF CALIFORNIA REPORTEDLY SUBJECT TO ONE OF THE LARGEST DATA BREACHES INVOLVING A HEALTH CARE ORGANIZATION

On March 29, 2022, the Hive ransomware group posted a message on its HiveLeaks darkweb site declaring the group had been able to access the personal private information of approximately 850,000 patients of healthcare coverage provider PARTNERSHIP HEALTHPLAN OF CALIFORNIA. This data included names, addresses and Social Security Numbers of their patients. This breach was reportedly first detected

PARTNERSHIP HEALTHPLAN OF CALIFORNIA REPORTEDLY SUBJECT TO ONE OF THE LARGEST DATA BREACHES INVOLVING A HEALTH CARE ORGANIZATION Read More »

WHATLEY KALLAS CONGRATULATES ANDRA HELLER ON HER APPOINTMENT AS THE AMA’S GENERAL COUNSEL

The attorneys of Whatley Kallas, LLP congratulate Andra K. Heller on her appointment as the new Senior Vice President and General Counsel of the American Medical Association. Ms. Heller most recently served as associate general counsel at IBM and general counsel of the IBM Watson Health Business. In announcing the appointment, AMA Chief Executive Officer

WHATLEY KALLAS CONGRATULATES ANDRA HELLER ON HER APPOINTMENT AS THE AMA’S GENERAL COUNSEL Read More »

THE UNITED STATES DOJ FILES COMPLAINT SEEKING TO STOP UNITEDHEALTH GROUP’S ACQUISITION OF CHANGE HEALTHCARE

On February 24, 2022, the United States Department of Justice, along with the states of Minnesota and New York, filed suit in the United States District Court for the District of Columbia seeking to enjoin UnitedHealth Group’s (“United”) proposed acquisition of Change Healthcare, Inc. (“Change”). United owns the country’s largest health insurer and Change is

THE UNITED STATES DOJ FILES COMPLAINT SEEKING TO STOP UNITEDHEALTH GROUP’S ACQUISITION OF CHANGE HEALTHCARE Read More »

Scroll to Top