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Congress Urged To Target Insurers Over Mental Health Limits

Updates from the Wit v United Behavioral Health ERISA Class Action | Manatt, Phelps & Phillips, LLP

Unprecedented Claims Reprocessing Order Stayed Pending Appeal to the Ninth Circuit On February 1, 2021, Chief Magistrate Judge Joseph C. Spero entered final judgment in Wit v. United Behavioral Health, No. 3:14-cv-2346 (N.D. Cal.). Wit is an ERISA class action concerning the propriety of certain guidelines previously used by United Behavioral Health (UBH) when adjudicating claims for outpatient and residential inpatient behavioral health treatments. The Wit court appointed a special master to oversee UBH’s compliance with the monumental task of “reprocessing” more than 67,000 claims for mental health treatment, as well as with other detailed declaratory and injunctive remedies. This “Health Update” reviews developments in the

Cigna beats one provider network pay suit, but others still loom

Cigna beats one provider network pay suit, but others still loom Modern Healthcare Illustration / Getty Images A federal judge on Monday dismissed a lawsuit alleging Cigna underpaid behavioral health providers for out-of-network claims and passed big bills on to patients. U.S. District Judge Edward Davila in the Northern District of California tossed the proposed class-action lawsuit brought by four behavioral health providers against Cigna, rejecting allegations that the Bloomfield, Conn.-based insurer engaged in antitrust, racketeering, fraud, conspiracy and unfair business practices. The providers claimed that Cigna violated federal and state laws by systematically reimbursing them for mental health and substance abuse treatment at unreasonably low rates that violated the terms of their patients insurance plans.

Making Mental Health Parity a Reality - The Challenge Continues | Zuckerman Spaeder LLP

Making Mental Health Parity a Reality - The Challenge Continues | Zuckerman Spaeder LLP
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