The Associated Press reports that the American Medical Association (AMA) and several state medical associations have joined to sue health insurers Aetna Inc. (Hartford, Conn.) and Cigna Corp. (Philadelphia) over a database the associations claim was rigged to underpay out-of-network physicians for more than 10 years. The complaints allege that Aetna deleted valid high charges from figures contributed to the UnitedHealth (Minnetonka, Minn.)-owned Ingenix database, and accuse Cigna of hiding "serious, systemic flaws" in the data. UnitedHealth has already agreed to close the database, and—along with Aetna—fund the creation of a replacement system.
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February 13, 2009
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