INDIANAPOLIS, Feb. 18 /PRNewswire/ -- WellPoint, Inc. (NYSE: WLP) announced today that it has reached an agreement with the New York Attorney General regarding the manner in which out-of-network reimbursement to providers will be determined. Under the terms of the Agreement with the Attorney General, WellPoint has agreed to discontinue the use of the Ingenix database, which it uses in determining out-of-network reimbursement for certain products and in certain states. WellPoint also has agreed to contribute $10 million towards the funding of a not-for-profit entity that will develop a database of provider charges that can be accessed both by health care plans and their members. WellPoint has worked cooperatively with the Attorney General in his investigation of out-of-network reimbursement and shares the Attorney General's goal of making health care costs more transparent.
"WellPoint is committed to appropriately processing claims and fairly reimbursing healthcare providers for covered services under the terms of each member's contract, while at the same time protecting our members and group customers against excessive charges by some non-participating providers," says Ken Goulet, Executive Vice President and CEO of WellPoint's Commercial Business. "WellPoint acknowledges the conflicts of interest in the Ingenix database, which the Attorney General's investigation brought to light, and we support his Office's efforts to increase the transparency of health care costs."
About WellPoint, Inc.
WellPoint is committed to improving the lives and health of the people and communities we serve by simplifying the connection between health, care and value. Our goal is to help shape the impact each health care decision has on individuals, the health care system at-large, and our communities. WellPoint's more than 42,000 associates work every day to help create the best health care value for our customers. Through collaborations with providers and with innovative programs, WellPoint's affiliated health plans reward healthy lifestyles and quality, safe and effective care. As the nation's largest health benefits company, with approximately 35 million members in its affiliated health plans, WellPoint is at the center of the health care system. This position provides us with the relationships and insights needed to help create affordable and actionable solutions that improve health care.
As an independent licensee of the Blue Cross and Blue Shield Association, WellPoint serves members as the Blue Cross licensee for California; the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as the Blue Cross Blue Shield licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), Wisconsin; and through UniCare. Additional information about WellPoint is available at www.wellpoint.com.
|SOURCE WellPoint, Inc.|
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