September 04, 2025
A North Carolina federal judge granted final approval to an $8.3 million class action settlement to end an employee health plan participant's allegations that Aetna conspired with OptumHealth Care Solutions to pass on administrative fees disguised as medical expenses, according to an order docketed Thursday.
March 04, 2025
The Trump administration has been barred from enforcing portions of executive orders targeting funding for gender-affirming care. Here, Law360 Healthcare Authority looks at these and other significant cases and decisions that shaped the healthcare industry over the last week.
February 28, 2025
Aetna Inc. and OptumHealth Care Solutions LLC will pay $8.3 million to settle 88,000 patients' claims that they were overcharged in a scheme to hide administrative fees as medical expenses, nearly three months after OptumHealth said it was pulling out of the deal.
December 10, 2024
OptumHealth Care Solutions LLC has told a North Carolina federal court that it is ready to bring a certified ERISA class action to trial following its rejection of a settlement that had been taking shape for nearly a year because the deal would not include a full release of all claims.
January 22, 2024
A settlement is looming in a patient's certified class claims accusing Aetna Inc. and OptumHealth Care Solutions LLC of conspiring to dupe patients into paying administrative fees by dressing them up as medical expenses, according to a filing in North Carolina federal court.
June 06, 2023
A North Carolina federal judge granted class status to nearly 88,000 health plan participants who claim Aetna conspired with OptumHealth Care Solutions to pass on administrative fees disguised as medical expenses, two years after the Fourth Circuit told the court to reassess whether class certification was warranted.
September 17, 2019
Aetna and OptumHealth won't have to face an ERISA suit alleging they tricked insureds into paying for administrative fees disguised as medical expenses after a North Carolina federal judge found that the health plan participant bringing the case hadn't been harmed by their arrangement.
April 01, 2019
A participant in an Aetna-affiliated health insurance plan will have to go it alone in her lawsuit accusing the company of colluding with OptumHealth Care Solutions to disguise administrative fees as medical expenses, a North Carolina federal judge has decided.