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Monday, September 16, 2013

AETNA TO PAY $120 MILLION IN OUT-OF-NETWORK CLAIMS DISPUTE

A federal judge tentatively approved a $120 million settlement of the class-action lawsuit against Aetna by TMA and our organized medicine partners. Final approval is scheduled for March. TMA, the American Medical Association, and the medical societies of nine other states sued Aetna in 2009 over its use of databases licensed from Ingenix, a UnitedHealth Group Inc. subsidiary. Ingenix underpaid physicians for out-of-network services, the lawsuit said. It also challenged other ways Aetna determined out-of-network payment rates and accused Aetna of failing to disclose how it figured those rates.

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