Navigation Links
AMA Commends N.Y. Investigation of Health Insurers
Date:2/13/2008

Remarks delivered today at a press conference hosted by New York Attorney General Andrew Cuomo to announce a suit against UnitedHealth Group, and a probe of 16 national health insurers regarding an alleged scheme to defraud consumers.

NEW YORK, Feb. 13 /PRNewswire-USNewswire/ -- The following is attributable to Nancy H. Nielsen, M.D., Ph.D., AMA President-elect:

"The investigation launched today by New York Attorney General Andrew Cuomo calls into question the validity of a system that health insurers have used for years to reimburse physicians and their enrolled members.

"UnitedHealth Group and other health insurers have shortchanged tens of millions of patients who agreed to pay higher premiums for access to their choice of physicians from outside a health insurer's network.

"These patients have a right to expect fair and accurate payment for services promised by health insurers. But at issue could be billions of dollars that health insurers have pocketed by paying treatment costs at less than what was promised.

"One way health insurers determine how much they will pay for medical services is by calculating the UCR -- a term that refers to "usual, customary, and reasonable" charges. As the name implies, these charges are essentially the "going rate" that physicians charge for their services in a given market.

"Instead of determining UCR amounts in a fair and evenhanded manner, UnitedHealth uses data that we contend pervasively understates UCR amounts. Unfortunately, there is no reason to think this is an isolated situation. In fact, the circumstances suggest that the practice of using skewed UCR amounts is widespread in the health insurance industry.

"By controlling and manipulating UCR calculations, health insurers can keep reimbursements artificially low. Health insurers have profited from skewed UCR data, while forcing patients to absorb a higher share of the costs passed on by the insurers.
'/>"/>

SOURCE American Medical Association
Copyright©2008 PR Newswire.
All rights reserved

Page: 1 2

Related medicine news :

1. HCLA Commends President Bushs Strong and Continuing Commitment to Medical Liability Reform
2. Senate Finance Committee Recommends Ways That Medicare Can Enhance Current Physician Quality Reporting Initiative (PQRI)
3. AHIP Commends IOM for Recommending Comparative Effectiveness Program
4. Leading National Patient Advocacy Group Commends Insurance Industrys Recognition, Focus on Growing National Problem of Uninsured and Underinsured Americans
5. AMA Commends Independent Health for Joining Industry Shift on Physician Performance Measurement
6. FDA Advisory Committee Recommends Approval of KYNAPID(TM) for Acute Atrial Fibrillation
7. Datascope Recommends Shareholders Re-Elect its Two Incumbent Directors and Reject Ramius Opposition Slate
8. NCOA Commends Long Term Care Commission Report
9. FDA Advisory Committee Recommends Approval of Abbotts XIENCE(TM) V Drug Eluting Stent System
10. AMA Commends Aetna for Quality First Commitment
11. National Association of EMS Educators (NAEMSE) Recommends Screening for Carbon Monoxide Poisoning
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/5/2015)... ... ... cyber nightmare come to life in the privacy of one’s own home can be quite ... helplessly as a hacker took control over their digital world, as reported this week ... whole situation that much more jarring to the senses for the family, they should feel ...
(Date:9/4/2015)... (PRWEB) , ... September 04, 2015 , ... According to ... been developed that changes color when subjected to an impact force that is great ... be implemented in helmets or other sporting equipment so that coaches or officials would ...
(Date:9/4/2015)... CO (PRWEB) , ... September 04, 2015 , ... Mile ... the ways in which a lack of funding for sidewalks, bike paths, and other ... the report, while the Denver region spends billions of dollars to expand public transit, ...
(Date:9/4/2015)... Bogart, GA (PRWEB) , ... September 04, 2015 ... ... serving Bogart and the surrounding communities, is launching a charity effort to provide ... , Commonly referred to as an enlarged heart, restrictive cardiomyopathy often leads to ...
(Date:9/4/2015)... ... September 04, 2015 , ... Scalability Experts (SE) announced ... awards at this year’s Microsoft Worldwide Partner Conference that was held in Orlando, ... Award Winner for Data Platform services, the 2015 HP and Microsoft “Outstanding Frontline ...
Breaking Medicine News(10 mins):Health News:IT Security Beware: A Cyber Security Nightmare at Work Can Start at Home 2Health News:IT Security Beware: A Cyber Security Nightmare at Work Can Start at Home 3Health News:IT Security Beware: A Cyber Security Nightmare at Work Can Start at Home 4Health News:New Article on Head Injury Detection Technology Highlights Implications for Head Injury Detection in Sports, says The Law Offices of Burg & Brock 2Health News:Missed Connections in Metro Denver Transit 2Health News:Georgia Insurance Advisors Inaugurates Charity Drive to Assist the Family of Young Local Girl Diagnosed with an Enlarged Heart 2Health News:Georgia Insurance Advisors Inaugurates Charity Drive to Assist the Family of Young Local Girl Diagnosed with an Enlarged Heart 3Health News:Scalability Experts is Awarded Three Separate 2015 “Partner of the Year” Awards at Microsoft’s Worldwide Partner Conference 2Health News:Scalability Experts is Awarded Three Separate 2015 “Partner of the Year” Awards at Microsoft’s Worldwide Partner Conference 3Health News:Scalability Experts is Awarded Three Separate 2015 “Partner of the Year” Awards at Microsoft’s Worldwide Partner Conference 4
... (NIH) will commit roughly $60 million from American Recovery ... meet objectives set forth earlier this year by a ... largest funding opportunity for research on autism spectrum disorders ... represents a surge in NIH,s commitment to finding the ...
... RICHMOND, Va. (March 24, 2009) Virginia Commonwealth University ... with hearing loss actually re-route the sense of touch ... the study, published online in the Early Edition of ... the week of March 23, the team reported ...
... leading provider of autism services shares events that raise ... Autism is the fastest-growing developmental disability in the ... a child is diagnosed with an autism spectrum disorder. ... and AIDS combined. It is one of our community,s ...
... LCG Associates, a national investment consulting firm, ... L. Bentley, CFA, CAIA.LCG,s ownership provides significant incentive ... the consulting industry. LCG rewards ownership in ... commitment to excellence and honesty.LCG Associates, Inc. provides ...
... School Children , ... St. Cloud, Minn. (Vocus) March ... dental program to St. Cloud Area School District 742 public elementary ... health of low-income and uninsured children. Smiles Across Minnesota provides children ...
... Is Urgent; Among Seniors with Diabetes, Half Are Unaware; Medicare,s ... City Councilors Nancy White, RN, Charles Jones, and Ed ... Macon area seniors to learn more about their personal risk ... (MDSP) in Macon before a crowd gathered in front of ...
Cached Medicine News:Health News:NIH will use $60 million in Recovery Act funds to support strategic autism research 2Health News:NIH will use $60 million in Recovery Act funds to support strategic autism research 3Health News:April is Autism Awareness Month 2Health News:April is Autism Awareness Month 3Health News:Smiles Across Minnesota Expands Program to St. Cloud 2Health News:Smiles Across Minnesota Expands Program to St. Cloud 3Health News:Smiles Across Minnesota Expands Program to St. Cloud 4Health News:City Councilors Nancy White, RN, Charles Jones, and Ed DeFore Launch Medicare Diabetes Screening Project in Macon 2Health News:City Councilors Nancy White, RN, Charles Jones, and Ed DeFore Launch Medicare Diabetes Screening Project in Macon 3
(Date:9/4/2015)... -- Hutchison China MediTech Limited ("Chi-Med") ... ("HMP"), its drug R&D subsidiary, successfully achieved the ... of fruquintinib in patients with advanced non-squamous non-small ... .  The top-line results demonstrated that the ... endpoint of progression free survival ("PFS"). ...
(Date:9/3/2015)... With a population of more than 1 ... also its single largest potential market for goods and ... all major world economies in the average rate of ... health expenditures. As an in vitro diagnostics (IVD) market, ... United States, western European countries, and Japan. China represents ...
(Date:9/3/2015)... NEW YORK , Sept. 3, 2015 ... successfully used to save millions of lives across globe. ... the Kingdom of Saudi Arabia . ... raw material suppliers, government agencies and regulatory bodies. The ... been studied from two perspectives: by products and by ...
Breaking Medicine Technology:Second Proof-of-concept Trial of Fruquintinib Achieves its Primary Endpoint 2Second Proof-of-concept Trial of Fruquintinib Achieves its Primary Endpoint 3IVD in China 2IVD in China 3IVD in China 4IVD in China 5IVD in China 6IVD in China 7IVD in China 8IVD in China 9IVD in China 10IVD in China 11IVD in China 12IVD in China 13Saudi Arabia Defibrillators Market: & Advanced Life Support Defibrillators; End Users; Industry Analysis, Size, Volume, Growth, Trends and Forecast 2014 - 2020 2
... 15, 2012 For the 35 million people ... new, fast, effective approach to treatment is now ... light, radiofrequency and ultrasound aesthetic and medical devices, ... newest innovation for the Harmony(XL) multi-application, multi-technology platform, ...
... BARCELONA, Spain, March 15, 2012 Grifols (MCE:GRF, MCE:GRF.P ... largest plasma product manufacturer and a pioneer in the ... to both scientific and social development, has acquired 51% ... the viability of its projects and the future of ...
Cached Medicine Technology:New Nail Fungus Approach Receives FDA Clearance 2Grifols has Acquired 51% of the Capital of Araclon Biotech to Ensure the Viability of the Purchased Company Projects 2Grifols has Acquired 51% of the Capital of Araclon Biotech to Ensure the Viability of the Purchased Company Projects 3Grifols has Acquired 51% of the Capital of Araclon Biotech to Ensure the Viability of the Purchased Company Projects 4Grifols has Acquired 51% of the Capital of Araclon Biotech to Ensure the Viability of the Purchased Company Projects 5Grifols has Acquired 51% of the Capital of Araclon Biotech to Ensure the Viability of the Purchased Company Projects 6Grifols has Acquired 51% of the Capital of Araclon Biotech to Ensure the Viability of the Purchased Company Projects 7Grifols has Acquired 51% of the Capital of Araclon Biotech to Ensure the Viability of the Purchased Company Projects 8
... ETS45 and ETS-FLEX45 Endoscopic Linear ... and cut line. The 34cm ... suitable for many minimally invasive ... intended for transection, resection, and/or ...
ENDO CLIP II ML, 10 mm Pistol Grip Single Use Clip Applier with Medium - Large Super Interlock Titanium Clips...
... Auto Suture ENDO CLIP 5 mm ... The applier is designed for introduction ... Auto Suture trocar sleeve, or larger ... The overall length of the shaft ...
... The Tissue Lock Clip is designed ... provides superior on-vessel clip retention and improved ... jaw design has a 20 percent greater ... clip placement., ,The Reflex® ELC has ...
Medicine Products: