Behavioral Health Business February 21, 2024
The U.S. Supreme Court rejected a request by United Behavioral Health to hear a behavioral health claim denial case.
The case, titled D.K. v. United Behavioral Health, centered on findings that the health plan did not give plaintiffs a full and fair review during the denial-appeals process. The Supreme Court’s decision allows two rulings favorable to the plaintiff to stand.
This decision creates binding precedent in the U.S. Court of Appeals for the Tenth Circuit. It reinforces existing law and case law that require health plans to take the input of patient’s clinicians seriously. It also puts a finer point on the importance of health plans meaningfully engaging with clinicians and members when assessing claims.
While not binding in other...
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