Aetna Suing Six New Jersey Doctors Over “Unconscionable” Medical Bills.
Bloomberg News (3/24, Waldman) reports that health insurer “Aetna Inc. (AET) is suing six New Jersey doctors over medical bills it calls ‘unconscionable,’ including $56,980 for a bedside consultation and $59,490 for an ultrasound that typically costs $74.” Bloomberg News adds, “The lawsuits could help determine what pricing limits insurers can impose on ‘out-of-network’ physicians who don’t have contracts with health plans that spell out how much a service or procedure can cost.” In particular, Aetna’s “lawsuits, filed in superior court in Camden, New Jersey, over the last eight months, allege the defendants violated New Jersey Board of Medical Examiners rules against excessive fees, and seek triple damages under state insurance- fraud laws against filing false or misleading claims
Why can’t we all just get along?
Tom, how are you doing? I hope all is well with you in the Bayou. I am no longer with cohen seltzer in philadelphia. They entered into a services arrangement with another firm. The business is getting more interesting every day.