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.
- mHealth Tackles Readmissions
- 'Kafkaesque' Value System Unfairly Penalizes Doctor Pay
- CNO Leads $1M Charge for New Scrubs, Uniforms
- Targeting Self-Insured Populations
- MA an Insurance Proving Ground for Providers
- Sharp HealthCare Leaves Pioneer ACO Program
- Some Cancer Hospitals' Quality Data Will Soon Be Public
- Proton Beam Therapy Poised for Growth in US
- Docs Fret as HHS Addresses Malpractice Reporting 'Loopholes'
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013