HMO Antiracketeering Lawsuit Settlement Enforcement Toolkit

 

Health Plan Settlements At a Glance

Summary of Lawsuit Settlements
Prospective Relief
Fairer Payment Rules

Compliance Disputes

Aetna/CIGNA

Step-By-Step Guide
Official Compliance Dispute Forms
- Aetna: Word document or  Online form
- CIGNA: Word document or  Online form

Health Net

Step-By-Step Guide
Official Compliance Dispute Form: Word document
   (Online form not yet available)

Anthem/WellPoint (not yet available)

Step-By-Step Guide
Official Compliance Dispute Form

Billing Disputes

Step-By-Step Guides

Aetna/CIGNA
Health Net (not yet available)
Anthem/WellPoint (not yet available)

Settlement Overviews

Aetna
CIGNA
Health Net
Anthem/WellPoint

Examples Of Compliance Disputes

More Information/Contact People

COMPLIANCE TEAM:
  • Catherine Hanson, General Counsel, California Medical Association, 221 Main Street, Suite 580,San Francisco, Ca 94105    Email:   chanson@cmanet.org     Phone: (415) 882-5135
  • Deborah Winegard, General Counsel,  Medical Association of Georgia  1330 West Peachtree Street NW, Suite 500,  Atlanta, Georgia 30309,  Email:   dwinegard@mag.org ,   Phone: (404) 876-7535
  •  Cameron ("Cam") Staples,  Counsel to:  Connecticut State Medical Society, c/oNeubert, Pepe & Monteith, P.C., 195 Church Street, 13th Floor, New Haven, CT  06510-2009,   Email:   ccs@npmlaw.com , Phone: (203) 821-2000 
  • Donald P. "Rocky" Wilcox.  General Counsel, Texas Medical Association, 401 West 15th Street, Austin, Texas 78701,  Email:   rocky.wilcox@texmed.org , Phone:  (512) 370-1336
  • Carol Scheele, Associate General Counsel, North Carolina Medical Society, 222 North Person Street, Raleigh, North Carolina 27601, Email:   cscheele@ncmedsoc.org ,  Phone:  919-833-3836
  • Don Moy, General Counsel, 420 Lakeville Road, PO Box 5404, Lake Success, NY 11042-5404,  Email:   dmoy@mssny.org ,  Phone:  (516) 488-6100

Signatory Medical Societies (See  www.hmosettlements.com  for list of additional medical societies for each settlement agreement)

American Medical Association : Private Sector Advocacy

Compliance Dispute Facilitators

 

 

Copyright © 2005 California Medical Association
Copyright © 2005 North Carolina Medical Society
Copyright © 2005 Connecticut State Medical Society
Copyright © 2005 Texas Medical Association
Copyright © 2005 Medical Association of Georgia
Copyright © 2005 Medical Society of the State of New York

As a public service of these medical associations, reproduction and distribution of this document by or on behalf of non-profit medical associations for their own use or for distribution to association members without charge, and by individual physician practices, is authorized as long as each copy clearly includes this copyright notice. All other use without written permission of one of the named medical associations is strictly prohibited.


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