Just days after cutting a $50 million deal with the state of New York to address similar issues, UnitedHealth Group has agreed to pay $350 million to settle a class-action suit brought against it by the American Medical Association alleging that its health plans unfairly used inaccurate pricing data to justify low out-of-network payments.
Earlier this week, the state of New York announced that UnitedHealth had agreed to pay $50 million to settle charges that physician charge data maintained by its Ingenix subsidiary was artificially low. The money will be used to create an independent non-profit that will administer a new charge database. Ingenix will use the non-profit's data and scrap its existing database.
Now, UnitedHealth has agreed to pay $350 million to settle the AMA's class-action suit, which argued that UnitedHealth's rate-setting practices violated several federal laws, including ERISA, RICO and antitrust law.
To get more background on the suit:
- read this Modern Healthcare piece [1] (reg. req.)
Related Articles:
UnitedHealth inks $50M settlement with NY over Ingenix charges [2]
NY sues UnitedHealth over MD payments [3]
New York AG expands health plan investigation [4]
UnitedHealth's Ingenix faces mounting legal troubles [5]
Links:
[1] http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20090115/REG/301159956
[2] http://www.fiercehealthcare.com/story/unitedhealth-inks-50m-settlement-ny-over-ingenix-charges/2009-01-14
[3] http://www.fiercehealthcare.com/story/ny-sues-unitedhealth-over-md-payments/2008-02-14
[4] http://www.fiercehealthcare.com/story/new-york-ag-expands-health-plan-investigation/2008-03-07
[5] http://www.fiercehealthcare.com/story/unitedhealth-s-ingenix-faces-mounting-legal-troubles/2008-05-05