People of New York vs. Vampires

If you’re middle class (like most of us), you know about how health insurance premiums keep going up, covering less, and robbing you of more than your COL increments every year. In my post Health Insurance Racket as Organized Crime I outlined the details of how two of New York City’s major public health care providers filed RICO suits against UHC and its underlings.

Because it is a racket, it’s bankrupting citizens everywhere, and now it’s all the way to closing important hospitals DOWN because they can’t get insurance to pay for care to patients who *are* insured. A case study in how Corporate Greed and Unbridled Lust for Profit can end up destroying the entire fabric of the nation on which these corporate raiders depend for their very life.

Today New York state Attorney General Andrew Cuomo filed a formal Intent To Sue action against the database company Ingenix – owned by the same parent company as UHC – for its fraudulent manipulation of the database most insurance companies use to set reimbursement rates for out-of-network medical expenses.

The United insurers and many other health insurance companies relied on the Ingenix database to determine their “reasonable and customary” rates.  The Ingenix database used the insurers’ billing information to calculate a “reasonable and customary” rate for individual claims by assessing how much a similar type of medical service would typically cost, generally taking into account the type of service, physician, and geographical location.  However, the investigation showed that the “reasonable and customary” rates produced by Ingenix were remarkably lower than the actual cost of typical medical expenses.

Links:

Cuomo Announces Industry-Wide Investigation Into Health Care Insurers’ Fraudulent Reimbursement Scheme

The Health Care Plans: Worthless

The Health Insurance Racket as Organized Crime

The Truth About Insurance

NY Atty. Gen. announces investigation into health insurer fraud

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Filed under For-Profit Insurance, Government Lawsuits, Health Care, RICO Lawsuits, Universal Care | Comment (1)