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Arizona AG Says Insurers Used Algorithm to Fix Out-of-Network Rates

Arizona AG Kris Mayes sued MultiPlan and several major health insurers, alleging violations of the Arizona Uniform State Antitrust Act and Arizona Consumer Fraud Act based on an alleged price-fixing scheme to suppress payments for out-of-network care. According to the complaint, the insurers allegedly used MultiPlan’s shared pricing algorithm and pooled confidential claims and payment…

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Massachusetts AG Accuses UnitedHealthcare of Inflating Medicaid Reimbursements

Massachusetts AG Andrea Joy Campbell sued UnitedHealthcare Insurance Company, d/b/a UnitedHealthcare Community Plans of Massachusetts, asserting Massachusetts False Claims Act, unjust enrichment, and breach of contract claims over allegations that the insurer inflated health-status assessments for seniors enrolled in its MassHealth Senior Care Options plan. According to the complaint, UnitedHealthcare improperly moved members into higher-paying…

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Illinois AG Pens Latest EpiPen Deal With Mylan

Illinois AG Kwame Raoul reached an $8.25 million settlement with Mylan Inc. resolving allegations that the company used anticompetitive tactics to monopolize the epinephrine auto-injector market and overcharge Illinois Medicaid and employee health benefits programs for EpiPens. According to the AG’s office, Mylan allegedly raised prices, delayed generic competition, forced consumers to buy two-packs instead…

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State AGs Pen EpiPen Settlements With Mylan

Maryland AG Anthony Brown and North Carolina AG Jeff Jackson announced separate settlements with Mylan resolving allegations that the company used anticompetitive tactics to maintain EpiPen’s market dominance and drive up prices for the life-saving allergy medication. According to the AGs’ offices, Mylan allegedly suppressed generic competition through exclusionary contracts with pharmacy benefit managers, delayed…

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Iowa Demands Change Over Data Breach Fallout

Iowa AG Brenna Bird filed a lawsuit against healthcare claims clearinghouse Change Healthcare Inc. and its owners and operators alleging that cybersecurity and breach-response failures during a 2024 cyberattack violated the Iowa Consumer Fraud Act and the Personal Information Security Breach Protection Act. The petition claims the companies used outdated, insecure systems that lacked basic…

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