The AMA, one of the plaintiffs, brought the suit to then-New York Attorney General and current Gov. Andrew Cuomo in 2008, who confirmed that UnitedHealth Group artificially lowered out-of-network reimbursements to physicians.
UnitedHealth Group and other major insurers used a database of physician billing data to calculate out-of-network payments and later agreed in a 2009 settlement to reform its payment system and fund a new database that would set “usual, customary and reasonable rates,” according to the release.
The new database is the Fair and Independent Research Health, or FAIR Health, which reports out-of-network rates to the public.
Related Articles on UnitedHealth Group:
UnitedHealthcare Surpasses WellPoint With Most Enrolled Members
UnitedHealthcare Finalizes XLHealth Acquisition
UnitedHealth’s 4Q Profit Jumps Almost 21% to $1.26B
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
