CA surgery clinics overbilled, insurance giant claims
San Jose Mercury News, June 4, 2012
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.
Most Viewed
Most Emailed
- Primary Care Docs Average More Hospital Revenue Than Specialists
- 69% of Employers Plan to Offer Healthcare Coverage After 2014
- Building a Better Healthcare Board
- Q&A: Catholic Health Initiatives' New Senior VP for Capital Finance
- CMS Seeks to 'Rapidly Reduce' Medicare Spending with $1B in Grants
- Quiet ORs Better for Patient Safety
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- CMS Releases Hospital Pricing Data
- Hospital Pricing Data Dump Won't Hurt You, Yet
- Telemedicine is Retail Health Clinics' Newest Tool
