Healthcare Finance News June 10, 2024
Susan Morse

The court ruled Humana’s compliance costs constitute substantial hardship and denied the DOJ’s motion to dismiss for lack of standing.

A federal judge for the Northern District of Texas in Fort Worth has ruled against the Department of Justice’s motion to dismiss a case brought by Humana.

Judge Reed O’Connor also denied the DOJ’s motion to transfer the court venue to Dallas.

This means that Humana’s case over Medicare Advantage audits can move forward. O’Connor ordered both parties to submit a joint schedule for summary judgment briefings by June 20.

WHY THIS MATTERS

Humana brought the lawsuit on September 1, 2023, based on a final rule issued by the Centers for Medicare and Medicaid Services that changes previous audit procedures.

...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Govt Agencies, Insurance, Medicare Advantage
Trends 2025: Healthcare leaders are focusing on patient access, AI and Medicare Advantage
Sanford Health Plan eyes Medicare Advantage expansion
CMS ending VBID model due to high costs
CMS ends value-based Medicare Advantage model: 5 things to know
Trends 2025: Medicare Advantage prospects strong despite challenges

Share This Article