Tag Archives: lawsuit

Journalist digs through data sources to show how deal changed Montana’s insurance market

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

scales of justiceCovering health insurance in a less-populated state can be a significant challenge for journalists because most often, there’s not enough enrollment data to support robust reporting on trends that affect consumers.

Katheryn Houghton learned this lesson when working as a daily news reporter for the Bozeman Daily Chronicle in Montana. In May, she left the Chronicle and now works as a freelance health care journalist in Missoula. Continue reading

Another AB 5 lawsuit update: Motion denied but groups consider appeal

Carolyn Crist

About Carolyn Crist

Carolyn Crist (@cristcarolyn) helps AHCJ’s freelance members find the resources, tips and contacts they need to create and run a successful business. A freelance journalist and author, Crist covers health, medicine and science stories for national news outlets such as Reuters, Runner’s World and Parade. She also writes for trade and custom publications. Contact her at carolyn@healthjournalism.org.

Photo courtesy of David Lena and GSALA Federal Courthouse expressing civic architecture by way of association with City Hall and similar patriotic symbols incorporated into the building.

After a Los Angeles District Court judge declined to halt the current limits on freelance journalists and photographers in California, the two national organizations that filed the lawsuit are thinking about the next move — possibly an appeal to the 9th Circuit.

On March 20, Judge Philip Gutierrez denied a motion for preliminary injunction on California Assembly Bill 5, which restricts journalists to 35 submissions per publication per year as freelancers. Gutierrez also dismissed the lawsuit entirely. The two rulings came as a surprise on Friday since the next step in the case was scheduled to take place on March 23. Continue reading

Cities sue administration over ACA policy

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at healthjournalism.org. She welcomes questions and suggestions on health reform resources and tip sheets at joanne@healthjournalism.org. Follow her on Facebook.

Photo: Marylandstater – Transferred from en.wikipedia to Commons. en:Image:1city hall baltimore.jpg, Public Domain, Link

The latest in the Affordable Care Act legal battles: U.S. cities suing President Trump and top health officials at HHS for sabotage.

The suit, filed Aug. 2 by Baltimore, Cincinnati, Chicago and Columbus, plus two people from Charlottesville, Va., (which has some of the highest ACA insurance premiums in the country) accuses the administration of “intentionally and unconstitutionally” undermining the ACA, including by expanding non-ACA plans and discouraging enrollment. Continue reading

Pre-existing conditions re-emerge: Find out who might be affected

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at healthjournalism.org. She welcomes questions and suggestions on health reform resources and tip sheets at joanne@healthjournalism.org. Follow her on Facebook.

Photo: Ted Eytan via FlickrA sign from a 2017 rally in support of the ACA in Washington, D.C.

The latest anti-Affordable Care Act lawsuit from a score of conservative state attorneys general – partly backed by the U.S. Department of Justice – brings protections for people with pre-existing conditions squarely back into the political and policy forefront. (And you should expect this lawsuit and pre-existing condition protection to come up in the Senate confirmation hearings for Brett Kavanaugh in early September).

So how many people really do have pre-existing conditions who are vulnerable to losing coverage?  And where are they?

Continue reading

Lawsuit claims UnitedHealthcare concealed Medicare Advantage enrollment fraud complaints

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Credit: Kaiser Family Foundation
UnitedHealthcare has 4.6 million Medicare Advantage members, 24 percent of the U.S. Medicare Advantage market.

A recently unsealed whistleblower lawsuit claims that UnitedHealthcare concealed from federal officials hundreds of complaints of enrollment fraud and other misconduct in its Medicare Advantage program.

Brought by two UnitedHealthcare sales professionals in Wisconsin, this suit is worth watching because it is the third in recent months that whistleblowers have brought using knowledge they gained while working for Minnetonka, Minn.-based health insurance giant. Continue reading

Threat of lawsuit prompts editor to dig into complainant’s past

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Ron Shinkman

Ron Shinkman

If you’ve ever wondered what it would be like to face a lawsuit over a story you’ve written, you’ll want to read how Ron Shinkman responded when a source threatened to sue.

The editor and publisher of Payers & Providers, a newsletter in Los Angeles, Shinkman got the phone call we all dread. On the line that day in March 2012 was Jeannette Martello, MD.., a plastic surgeon Shinkman had covered when the California Department of Managed Health Care enjoined her from balance billing her patients.

As Shinkman writes in a new How I did It, the article was a just-the-facts brief based on a report the insurance regulator issued. Continue reading