Entries from HEALTH LAW SECTION BLOG tagged with 'out-of-network care'

AG's UCR Database Gets a Name: FAIR Health, Inc.

The Attorney General released some details of the promised state-sponsored database intended to replace the private Ingenix database of out-of-network pricing information: Attorney General Cuomo today [Oct. 27, 2009] announced historic nationwide reform of the consumer reimbursement system for out-of-network...

Joint Hearing on Out-of-Network Insurance Coverage

The Insurance Department and Department of Health will hold a joint hearing on out-of-network insurance coverage on October 7, 2008 in Albany. In response to complaints from consumers who did everything they could to use in-network doctors, but nonetheless received...

More on Ingenix: Massachusetts Case

Today at TheStreet.com Melissa Davis writes about a recent Massachusetts case that could provide a discouraging precedent for UnitedHealth: Three years ago, Dr. Michael Davekos set out to prove that he had been underpaid for treatment he provided to a...

AG Subpoenas More Insurer Records

Crain's New York Business online carried a piece this afternoon about a new round of subpoenas in the AG's investigation into "usual and customary rates" paid by insurers: Mr. Cuomo says he believes the companies used UnitedHealth Group subsidiary Ingenix...

Industry: Basic Premise of Cuomo's Rate-Scheme Investigation Questionable

Atlantic Information Services reprints an article from Health Plan Week on Attorney General Andrew Cuomo's ongoing investigation into health plans' use of "usual and customary rates" to pay for out-of-network care: A six-month investigation into rate-setting practices of health plans...

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