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WellPoint's Reuters Response
Date:4/22/2010

INDIANAPOLIS, April 22 /PRNewswire-FirstCall/ -- Today, WellPoint, Inc. (NYSE: WLP) issued the following points of clarification in response to the Reuters article published this morning.

  • Today's Reuters story alleging that WellPoint employs a targeted rescission policy for members with breast cancer is inaccurate and grossly misleading. The story incorrectly reports that WellPoint singles out women with breast cancer for aggressive investigation with the intent of canceling their insurance. This is simply wrong. In fact, WellPoint works to prevent breast cancer, to detect it early, and to get our members into treatment. We also work to ensure that all of our members are getting best practice care for breast cancer.
  • The story also misstates the role of what it terms computer algorithms.  Contrary to how its use was portrayed in the story, such software is used to look at a series of diagnostic codes meant to capture conditions that applicants would likely have known about at the time they applied for coverage.  We do not single out breast cancer or pregnancy.
  • The story focuses heavily on the practice of rescissions. As part of our normal business practices, WellPoint monitors claims for a variety of things, from indications of potential fraud to potential opportunities to improve quality and better coordinate care.  If something appears that it may be associated with a material misrepresentation, we may initiate an investigation.
  • In fact, last year less than one-tenth of 1 percent of our individual members' policies were rescinded.
  • The story is also wrong in reporting that WellPoint lob
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SOURCE WellPoint, Inc.
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