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Doctors file lawsuit against insurance companies

Discussion in 'Clinical Rotations' started by WSUreds, Jun 28, 2002.

  1. WSUreds

    WSUreds Senior Member 15+ Year Member

    Dec 5, 2001
    I know I posted this in the everyone forum but figured it would get more of a response here. Here is a link to the article in the Cincinnati Enquirer <a href="" target="_blank">Major insurance companies sued </a>
    here is a link to the other forum <a href=";f=3;t=005342" target="_blank">forum</a>
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  3. Crusher

    Crusher Member 7+ Year Member

    May 1, 2002
    Add to that the University Hospital nurses are striking July 1, it makes for quite an interesting time. Luckily I am at Good Samaritan for my first rotation...although I may be busier than usual...
  4. Goofy

    Goofy Senior Member 7+ Year Member

    Nov 20, 2001
    United States Of America
    I'm actually amazed that so many doctors were able to conjure up the consensus needed to pursue such a lawsuit.

    Obviously many of us would love for this to succeed as it would provide a powerful precedent.

    Sadly, I doubt there is a single legal mind willing to let this succeed, as the perceived repercussion would be interpreted as dire. We as physicians need to continue to fight until someone somewhere relents.

    Its gonna be a tough fight.

  5. WSUreds

    WSUreds Senior Member 15+ Year Member

    Dec 5, 2001
    Friday, June 28, 2002
    Major insurance companies sued
    Underpayment tops doctors' claim

    By Dan Horn, [email protected]
    The Cincinnati Enquirer

    Greater Cincinnati's doctors sued every major health insurance company in the region Thursday, accusing them of conspiring to underpay physicians.

    The Academy of Medicine of Cincinnati leveled the charges in two lawsuits it filed on behalf of 1,900 doctors in Cincinnati and Northern Kentucky.

    The lawsuits claim that doctors have been forced to quit or leave the Cincinnati area because insurance reimbursement rates here are much lower than in other cities.

    The lack of physicians has, in turn, damaged the quality of health care, the lawsuit states.
    "The crown jewel of our medical community has been disenfranchised by substandard reimbursements," said Cincinnati lawyer Stan Chesley, who filed the lawsuit. "The consuming public is not getting what they bargained for."

    Doctors have complained for several years about the reimbursement they receive for their work from insurance companies. Cincinnati has lost hundreds of doctors in recent years and has lagged other cities in physician recruitment.

    The reason, according to the lawsuit, is reimbursement rates that are as much as 50 percent lower in Cincinnati than in nearby cities.

    The insurance companies named in the lawsuit include Aetna, Humana, Anthem Blue Cross and Blue Shield and United Health Care of Ohio.

    Most company officials could not be reached for comment late Thursday, but many have previously disputed that they underpay doctors in the Cincinnati market.

    "Anthem believes in offering fair and competitive reimbursement rates to its doctors, hospitals and other health care providers," Anthem spokesman Joe Bobbey said Thursday.

    The lawsuits were filed in Hamilton County Common Pleas Court and Boone County Circuit Court.

    They seek unspecified damages and a court order to change the insurance companies' reimbursement policies.

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