Doctors' associations from around the country have teamed with the American Medical Association to sue health insurers Aetna and Cigna over reimbursement rates for physicians.
The Connecticut State Medical Society is among the groups joining the suit, which follows a controversy over a database used to calculate physicians’ reimbursement for out-of-network care. The Ingenix database is owned and maintained by UnitedHealth, and the suits allege that for a decade faulty data resulted in doctors being paid too little, or patients being overcharged. Last month insurers settled a case brought by the state of New York, and the agreement included millions of dollars to set up a new independent database. Aetna spokeswoman Cynthia Michener says the company is disappointed by the physicians’ suit.
"On top of already pending consumer litigation on this same topic. If everyone believes they are entitled to additional payments, the healthcare system as a whole will bear the burden, and increase costs for everyone. Aetna has developed much improved relations with physicians over the past several years, and would prefer to continue collaborative dialogue with them on this topic."
The Connecticut State Medical Society says it believes doctors were deliberately underpaid in order to maximize corporate profits.