CA surgery clinics overbilled, insurance giant claims
In a $20 million lawsuit, Aetna Insurance claims the Santa Clara County Bay Area Surgical Management is making millions of dollars and enriching doctors by sidestepping state laws meant to protect patients and control costs. The suit says Bay Area Surgical Management has recruited dozens of local doctors to invest in its outpatient facilities and then to refer patients to those facilities, which charge exorbitant prices for medical procedures. The management firm denies the allegations. Aetna's suit reflects the growing discomfort among some local doctors with the network of surgery centers.
- Interventional Radiology No Longer a Sub-Specialty
- NFP Hospitals' Revenue Growth at 'All-Time Low'
- Acute Kidney Injury Gets New Focus
- Transforming Cancer Care
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- mHealth Tackles Readmissions
- CNO Leads $1M Charge for New Scrubs, Uniforms
- Sharp HealthCare Leaves Pioneer ACO Program
- MA an Insurance Proving Ground for Providers