Aetna Skirts Docs' False Ad Claim In Reimbursement Fight

Law360, New York (April 30, 2013, 10:01 PM EDT) -- A California federal judge Monday pared a lawsuit filed by the California Medical Association alleging three Aetna Inc. units threatened physicians who referred patients to out-of-network providers, ruling that the plaintiffs did not adequately plead their false advertising claim.

U.S. District Judge S. James Otero found that the medical association and its fellow plaintiffs failed to show how Aetna's alleged refusal to reimburse patients for out-of-network services, as promised by the costly insurance policies Aetna sold them, hindered the doctors' ability to compete for customers, a...
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