Health Insurer Agrees to $50 Million Settlement

Posted by PKSD Law Firm on Jan 16, 2009 in Personal Injury News

After being accused of overcharging millions of Americans for health care, one of the nations largest health insurers agreed to a $50 million settlement earlier this week.

Hundred of complaints from insureds to the NY attorney generals office prompted an investigation of Oxford Insurance and its parent company, UnitedHealth Group for manipulating numbers to limit reimbursements. The insurance company was determining that many procedures needed by patients were not considered usual, customary or reasonable. 

A company called Ingenix was used by UnitedHealth Group to establish those rates using independent research from across the health care industry. It was discovered that Ingenix is owned by UnitedHealth Group. The AG said that Americans have been under-reimbursed to the tune of at least hundreds of millions of dollars.

Ingenix is used by other major insurers, including Aetna, CIGNA, and WellPoint/Empire BlueCross BlueShield. The NY attorney generals office has broadened their investigation to include other insurance companies for the same reason.

Some patients plan to bring a class action lawsuit against UnitedHealth Group.

Pitman, Kalkhoff & Sicula is a Wisconsin personal injury law firm handling cases through out the state.  Our personal injury lawyers have successfully represented injured people in almost every county. We know Wisconsin.

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