New York takes on United over tactics as industry arbiter of physician pay
February 25th, 2008 Posted by: Dr. Dobson
An investigation into how a UnitedHealth Group subsidiary determined reimbursement for out-of-network physicians across multiple insurers alleges to show a pattern of underpricing services to shift the payment burden from insurers to patients.
New York Attorney General Andrew Cuomo on Feb. 13 announced his intent to sue United, after a six-month investigation focusing on its Ingenix subsidiary. Ingenix operates a database used by most insurers to determine the so-called usual, customary and reasonable rates for physician services.
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Tags: takes, United, tactics, industry, arbiter, physician