UnitedHealth Unit Defeats Class Bid Over HIV Prevention Coverage

Patients accusing health claims administrator UMR Inc. of failing to fully cover medical care aimed at reducing the risk of HIV infections lost their bid to litigate as a certified class.

The patients haven’t established a reliable method for identifying who received PrEP-related services and thus haven’t met the bar for class certification, Judge Jerry W. Blackwell said Wednesday for the US District Court for the District of Minnesota. Their expert witness attempted to identify class members by analyzing claims data and making inferences about why certain tests were ordered, but that’s not rigorous enough to justify certifying a class, ...