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Monday, June 4, 2012

The Checks Are in the Mail

Payments are on the way to Texas physicians who used MCAG Group to file claims in a class action lawsuit against UnitedHealth Group over its out-of-network payment practices. MCAG tells us more than 1,300 checks totaling almost $5 million are in the mail to Texas practices and individual physicians. TMA supported this and other suits challenging insurer practices by joining with other state medical societies in pursuing class action litigation against for-profit insurance companies and by being a founding member of The Litigation Center of the American Medical Association and State Medical Societies. This particular case, brought by AMA and several other plaintiffs, alleged that UnitedHealth Group colluded with others to underpay physicians for out-of-network services. The suit sought relief for physicians who were seriously harmed by the insurer’s long-term use of the Ingenix database that has been shown to be rigged to allow insurers to shortchange payments.

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