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Aetna can't undo class in disc replacement lawsuit

Aetna lost its bid to decertify a 239-person class-action lawsuit over its coverage of lumbar total disc replacement. ....

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Ninth Circuit Rules in Wit v. United Behavioral Health

In Wit v. United Behavioral Health, the plaintiffs brought claims under the ERISA, asserting that the defendant utilized internal guidelines for reviewing claims for behavioral health services under health benefit plans that were more restrictive than the terms of the plans ....

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Opinion: Flawed ruling jeopardizes mental health coverage for CT patients

The ruling sets a nationwide precedent that insurers, rather than medical experts, can. ....

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Anthem and United with Mental Health Parity Act compliance

An employee benefits attorney and the chief medical officer at American Addiction Centers weigh in on insurer compliance with the Mental Health Parity Act. ....

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Ninth Circuit Reversed Ruing of Wit v. United Behavioral Health

Wit v. United Behavioral Health In Wit, the district court ruled that United Behavioral Health breached fiduciary duties under ERISA to insureds by denying mental health and substance use disorder claims as a result of allegedly pervasively flawed medical necessity criteria ....

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