Insurers under investigation for fraudulent reimbursement rates

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Association of American Physicians and Surgeons, Inc.

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News of the Day ... In Perspective

4/6/2008

Insurers under investigation for fraudulent reimbursement rates

New York Attorney General Cuoma has issued subpoenas to Aetna, Cigna,

UnitedHealth, WellPoint, and other insurers in a broadening investigation of

possible fraud in setting insurance reimbursements that cost consumers

hundreds of millions of dollars.

Insurers charge a higher premium to consumers, promising to cover 80% of

reasonable and customary rate for out-of-network services. In setting the

rates,

however, they allegedly used rigged data from Ingenix, Inc. Called an “

independent†research firm, Ingenix is actually a wholly owned subsidiary of

UnitedHealth Group.

READ ENTIRE STORY: _http://www.aapsonline.org/newsoftheday/0024_

(http://pr4.netatlantic.com/t/889940/13807084/36887/0/?u=aHR0cDovL3d3dy5hYXBzb25\

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