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CUOMO ANNOUNCES INDUSTRY-WIDE INVESTIGATION INTO HEALTH INSURERS’ FRAUDULENT REIMBURSEMENT SCHEME

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kpete Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:15 PM
Original message
CUOMO ANNOUNCES INDUSTRY-WIDE INVESTIGATION INTO HEALTH INSURERS’ FRAUDULENT REIMBURSEMENT SCHEME
Edited on Wed Feb-13-08 02:18 PM by kpete
as you're reading this, please keep in mind that these are the same criminal companies that sadly our two Democratic candidates for President want the American people to entrust their lives to.



Department of Law
120 Broadway
New York, NY 10271
212-416-8060

For Immediate Release:
New York City Press Office / 212-416-8060
Albany Press Office / 518-473-5525
nyag.pressoffice@oag.state.ny.us

Department of Law
The State Capitol
Albany, NY 12224
518-473-5525

February 13, 2008


CUOMO ANNOUNCES INDUSTRY-WIDE INVESTIGATION INTO HEALTH INSURERS’ FRAUDULENT REIMBURSEMENT SCHEME
~
Database Company Ingenix – Used by Dozens of Insurers – at Center of Scheme
~
Cuomo Notifies Ingenix and its Parent, UnitedHealth Group, of Intent to File Suit; Subpoenas 16 Other Companies



NEW YORK, NY (February 13, 2008) – Attorney General Andrew M. Cuomo today announced that he is conducting an industry-wide investigation into a scheme by health insurers to defraud consumers by manipulating reimbursement rates. At the center of the scheme is Ingenix, Inc., the nation’s largest provider of healthcare billing information, which serves as a conduit for rigged data to the largest insurers in the country.

Cuomo also announced that he has issued 16 subpoenas to the nation’s largest health insurance companies including Aetna (NYSE: AET), CIGNA (NYSE: CI), and Empire BlueCross BlueShield (NYSE: WLP), and that he intends to file suit against Ingenix, Inc, its parent UnitedHealth Group (NYSE: UNH), and three additional subsidiaries.

The six-month investigation found that Ingenix operates a defective and manipulated database that most major health insurance companies use to set reimbursement rates for out-of-network medical expenses. Further, the investigation found that two subsidiaries of United (the “United insurers”) dramatically under-reimbursed their members for out-of-network medical expenses by using data provided by Ingenix.

much more at:
http://www.oag.state.ny.us/press/2008/feb/feb13a_08.html

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mrreowwr_kittty Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:17 PM
Response to Original message
1. Oh, but a mandated health insurance scheme is a really good idea, according to many here. nt
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AzDar Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:19 PM
Response to Original message
2. Good.
:thumbsup:
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Dr.Phool Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:23 PM
Response to Original message
3. Go for it Mario!
While you're at it, look into all those denied claims.
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IronLionZion Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:32 PM
Response to Reply #3
4. It's actually Mario's son, Andrew nt
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Dr.Phool Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:49 PM
Response to Reply #4
7. Ooops, slip of the brain.
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9119495 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:35 PM
Response to Original message
5. Can't we just make the New York AG always the American AG?
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sandnsea Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:38 PM
Response to Original message
6. I don't trust this
I don't know what he's got up his sleeve, but I bet it's going to end up being something political.
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midnight Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:51 PM
Response to Original message
8. No wonder people sent you so many hearts. You bring us
outstanding information time and time again. Just went through a year long appeal with an insurance co. I will have to do it again soon. These company's our unethical predators.
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The Backlash Cometh Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-13-08 02:59 PM
Response to Original message
9. "16 subpoenas" They should make a movie by that title.
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