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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