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UHC/Health Net/Aetna - others/Settlements


By bacolburn - Posted on 16 January 2009

NY has made the stand and won, however... if you read the articles at the links referenced below you will not see any settlement for the "Insured" if it has been determined that the carriers must repay for their re-pricing practices why aren't the consumers being offered claims re-processing and refunds for deemed over payments? Am I missing something? Comments, feedback - get your voice heard and especially if you are one of the consumers that more than likely will face premium increases to offset the settlement payments! http://www.courant.com/business/hcu-aetna-0115,0,7321458.story http://www.nytimes.com/2009/01/16/business/16health.html?_r=2 &scp=2&sq=UnitedHealth&st=cse Share this
Of COURSE they're going to settle - to do otherwise means they'll be open to scrutiny that they don't want. The general public and the providers would find out that what has long been suspected isn't a figment of anyone's imagination. By allowing these complaints to actually go to trial would also mean that there would be a very real possibility of actually being found GUILTY on record, thus opening other cans of worms they don't want opened. These companies aren't stupid; they'll settle out of court never ever having to admit that they are guilty; never having to fight to prove they're not guilty. It's a stalemate - still. LJ
I am appalled that the people who were taken advantage of by the greed of the entities utilizing the Ingenix pricing software are not being compensated for having to pay out claims that were either denied or reduced in error by these companies. They still have to pay out of pocket! Where the amount of money the companies are asked (I use that term lightly) to pay may be a great amount in comparison to my own checking account, it is but a drop in the bucket for these companies! And yet, they are not told to reprocess the claims that were rejected, denied or otherwise reduced because of their bottom line...money in their own pockets. Rena Hall, CPC
I agree with Rena. This is a drop in the proverbial bucket for these companies. The number should have been much, much heavier and, added to that should have been all the money that their patients ended up having to pay plus the money that physicians never got or ended up having to eat. And sadly, this is not the first time that UHC had been the bad boy. If you get too many tickets, they take your license away. Me thinks UHC has had too many tickets. Be well .... Kenneth J. Lopez
Be well .... Ken