Health Net Deal Ends NY AG Reimbursement Probe

Law360, New York (June 18, 2009, 12:00 AM EDT) -- Health Net Inc. has become the 12th insurer to settle out-of-network patient reimbursement fraud claims brought by New York Attorney General Andrew Cuomo, wrapping up a broad reform effort Cuomo says has fixed New York's “broken” reimbursement system for every insured New Yorker.

Cuomo announced Thursday that Health Net had agreed to end its relationship with Ingenix, a “defective” database used by insurers to compare and set out-of-network patient reimbursement rates, and pay $1.6 million toward the creation of a new, independent database that will establish...
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