The Thread · The Courts
The Lawsuits
When a denial happens once, it's a dispute. When it happens by design, it ends up in front of a judge. These are the cases where the courts — not just patients — are weighing in.
The Documented Record
Class Action · nH Predict
Estate of Gene B. Lokken et al. v. UnitedHealth Group
UHG's NaviHealth used a prediction algorithm with a reported 90% error rate to deny medically necessary care to Medicare Advantage seniors. Now a class action.
Lawsuit · Medicare Advantage
Ballad Health sues UnitedHealth Group
Alleging Medicare Advantage manipulation and harm to patients.
Ruling · Cancer Denials
A judge calls cancer denials "immoral, barbaric"
The court's own words for the conduct.
Ruling · $91.2M
Envision Healthcare v. UnitedHealthcare
UnitedHealthcare ordered to pay $91.2M for underpaying a physician group below their in-network agreement.
Settlement · $20M+
DOL v. UMR (UnitedHealth subsidiary)
Accused of denying thousands of claims based solely on diagnosis codes rather than medical necessity; agreed to pay $20M+ to settle.
Settlement · $2.1M
United Behavioral Health — DOL & NY AG
Underpaying out-of-network mental health providers, overcharging patients, and excessively denying treatment, in violation of ERISA.
Penalty · $165M
Massachusetts v. UHG-owned insurers
Ordered to pay $165M+ for a deceptive sales scheme that pushed vulnerable consumers into low-value supplemental products.
Investigation · Autism
ProPublica: UHG culling ABA-therapy providers
Restricting the gold-standard therapy for autistic children to limit spending on rising demand.