Navigation Links
AMA Claims Victory With Record Breaking Settlement in Case Against Insurer
Date:1/15/2009

Settlement reimburses patients and physicians who have been shortchanged

CHICAGO, Jan. 15 /PRNewswire-USNewswire/ -- The American Medical Association (AMA), along with the Medical Society of the State of New York and the Missouri State Medical Association, claims victory with the settlement agreement reached today in the lawsuit against United Health Group. The $350 million settlement marks the largest monetary settlement of a class action lawsuit against a single health insurer in the U.S.

(Logo: http://www.newscom.com/cgi-bin/prnh/20081209/AMALOGO)

"By using a flawed database to determine reimbursement rates for out-of-network care, insurers have increased profits at the expense of patients and physicians," said AMA President, Nancy H. Nielsen, M.D. "By agreeing to the settlement, United Health Group has recognized the importance of restoring its relationship with patients and physicians by ending use of a rigged database."

This lawsuit, pending since 2000, challenged the validity of the United Health Group-owned Ingenix database to determine the reimbursement rates for out-of-network care. Today's settlement will ensure United Health Group is held accountable for reimbursing the patients and physicians it shortchanged through the use of this flawed database. The settlement supports the separate agreement between United Health Group and the New York Attorney General to trust the repair and operation of a new database to a not-for-profit institution.

"The AMA has long fought to increase the transparency of the health insurance industry's payment system, and this settlement is a giant step toward achieving that goal," said Dr. Nielsen. "We must hold insurers accountable to their obligations."

Editor's Note: The settlement is subject to preliminary approval by a federal district court in New York. No distribution of the settlement fund can take place until final court approval has been obtained following a "fairness" hearing. Details of the settlement and formal notice will be provided to affected members of the subscriber and the healthcare provider classes.


'/>"/>
SOURCE American Medical Association
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Antibacterial Soap Claims Just Dont Wash
2. University of Texas Study Details Lengthy Payment Delays for Medicare Part D Prescription Drug Claims, Confirming Need for Legislative Fix
3. Governor Rendell Proclaims Sept. 9-15 as Senior Community Center Week
4. Coalition America Renews Relationship with Musketeer to Offer Streamlined Claims Repricing and Adjudication Solution for Benefit Administrators
5. Aon Corporation Study Finds Hospital Claims at New Lows
6. Medtronic Sprint Fidelis Defibrillator Lead Lawsuit Claims Center Opens to Aid Victims
7. Governor Rendell Says Mcare Claims and Costs Are 50 Percent Lower Than in 2003
8. Goulets Life Lost to Untreatable Lung Disease That Claims as Many Lives as Breast Cancer Each Year
9. Congress Proclaims Support for Long Term Care Awareness Week; Recent Poll Shows Voters Want Long Term Care Included in Presidential Candidates Healthcare Proposals
10. CIC Partners Announces Investment in OmniSYS, the Market Leader in Providing Solutions to Pharmacy-Related Medical Benefit Claims
11. Stryker Corp. & Physiotherapy Associates to Pay U.S. $16.6 Million for Alleged False Claims to Federal Health Care Programs
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... 26, 2016 , ... Pixel Film Studios Released ProSlice Levels, a Media Slicing ... their videos a whole new perspective by using the title layers in ProSlice ... , ProSlice Levels contains over 30 Different presets to choose from. FCPX ...
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer ... through a fitness app. The fitness app plans to fix the two major problems leading ... a one size fits all type program , They don’t eliminate all the ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the ... several important health care topics including advance care planning, healthcare costs and patient ...
(Date:6/25/2016)... FL (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial ... Plant City Observer , brings up a new, often overlooked aspect of head lice: the ... closing for fumigation is not a common occurrence, but a necessary one in the event ...
(Date:6/25/2016)... , ... June 25, 2016 , ... First Choice ... States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm ... Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 2016 Any dentist who has made an implant ... process. Many of them do not even offer this as ... high laboratory costs involved. And those who ARE able to ... a high cost that the majority of today,s patients would ... Parsa Zadeh , founder of Dental Evolutions Inc. and inventor ...
(Date:6/23/2016)... LOS ANGELES , June 23, 2016 /PRNewswire/ ... (NASDAQ: CAPR ), a biotechnology company ... first-in-class therapeutics, today announced that patient enrollment in ... progrEssion in Duchenne) has exceeded 50% of its ... its enrollment in the third quarter of 2016, ...
(Date:6/23/2016)... 23, 2016  Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered ... Latin America . ... ... ... ...
Breaking Medicine Technology: