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Managed Care Litigation

Client Alert | less than 1 min read | 03.03.01

On March 2, 2001, a Florida federal district court dismissed as inadequately pled the RICO and certain other claims filed by physicians against major managed care companies in the Moreno - In RE: Managed Care Litigation proceedings, but let stand most of the claims pending the submission of evidence.

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Client Alert | 4 min read | 09.26.25

Court Vacates CMS’s 2023 Final Rule on RADV Audits

On September 25, 2025, the Northern District of Texas granted plaintiffs’ motion for summary judgment in Humana v. Becerra, vacating CMS’s 2023 Final Rule regarding risk adjustment data validation (RADV) audits. In the litigation, Humana challenged CMS’s decision in the Final Rule to not continue applying a Fee-for-Service (FFS) adjuster to its RADV audit methodology....