Aetna Wins $37.4M Jury Verdict Over Medical Billing Fraud

Law360, Los Angeles (April 14, 2016, 10:42 PM EDT) -- A California jury awarded Aetna Inc. over $37.4 million in damages Wednesday after finding a network of Northern California surgical centers overbilled the insurer for out-of-network procedures through a complex scheme in which referring physicians received substantial kickbacks.

The victory capped a monthlong trial and four years of litigation against 10 defendants, including the centers, Bay Area Surgical Management LLC and the organization’s three co-founders.

The surgical centers recruited patients by offering waivers of co-pays and other fees and through selling shares in the facilities to...
To view the full article, register now.

UK Financial Services

UK Financial Services

Read Our Latest UK Financial Services Coverage

Financial Services Law360 UK provides breaking news and analysis on the financial sector. Coverage includes UK and European Union policy, enforcement, and litigation involving banks, asset management firms, and other financial services organizations.