Aetna suit by doctors escalates out-of-network dispute
A group of California doctors and medical groups accused Aetna Inc. (AET) (AET) of reneging on medical benefits, escalating a dispute over payments for care in facilities that don't have discounted contracts with the insurance provider. More than six-dozen physicians, medical associations and surgery centers sued Aetna in state court July 3. They alleged that the Hartford, Connecticut-based company retaliated against doctors and patients for using outpatient units that aren't in the company's network of preferred providers. The plaintiffs asked a court in Los Angeles to stop Aetna from terminating doctors for referring patients to out-of-network facilities.
- Anthem Blue Cross, 7 CA Health Systems Create New Challenger, Business Model
- EHR Systems 'Immature, Costly,' AMA Says
- Data Points to Boom in Private HIX
- Few Winners Among MSSP Participants
- Technology Lights Up Health Innovation Forum
- Interstate Medical Licensure Effort Advances
- Malnourishment 'Epidemic' Plagues Hospitals? Really?
- Hospitals and doctors fail patients by passing the buck on insurance rules
- How to Build a Health Plan from Scratch
- Better HCAHPS Scores Protect Revenue