Monday, February 16, 2009
TMA SUES CIGNA AND AETNA TO STOP USE OF SECRET DATA
TMA joined class-action lawsuits against CIGNA and Aetna. The federal lawsuits, filed along with the American Medical Association and other state medical societies, contend that the two health insurance companies rely on a flawed system to underpay physicians for out-of-network services and forced patients to pay an excessive portion of the costs. The antiracketeering suits seek to stop the health plans from using Ingenix to set “reasonable, usual, and customary” charges for out-of-network services and to require them to repay physicians for underpayments.
Posted by Steve Levine at 10:16 AM