Summary of HMO Lawsuit Settlements

    Health Plan

    Physician Monetary (Cash) Recovery

    Physicians' Foundations Funds

    Funding for Compliance and Enforcement Efforts

    Changes in Health Plan Business Practices

    Total Physician Damages

    Approval Dates

    Aetna, Inc. & Aetna-USHC, Inc.

    $100 Million

    $20 Million

    0

    >$300 Million

    >$420 Million

    Final Approval

    11/6/2003

    CIGNA HealthCare

    >$70 Million

    $15 Million

    0

    >$400 Million

    >$485 Million

    Final Approval

    4/22/2004

    Health Net, Inc.

    $39 Million

    0

    $1 Million

    >$80 Million

    >$120 Million

    Judge Approved:  9/26/2005

    Appeal Pending

    Prudential Insurance Company of America

    NA

    NA

    $22 Million

    NA

    NA

    Judge Approved:  9/26/2005

    Appeal Pending

    WellPoint, Inc. and Anthem

    $135 Million

    $5 Million

    0

    >$250 Million

    >$390 Million

    Hearing Scheduled: 12/2/2005

    Humana, Inc.

    $40 Million

    0

    0

    >$75 Million

    >$115 Million

    Hearing Scheduled:  3/6/2006

    TOTALS

    >$384  Million

    $40 Million*

    $23 Million

    >$1.1 Billion

    >$1.53 Billion

     

    *Physicians' Foundations for Health Systems Excellence and Physicians' Foundations for Health Systems Innovations have now accumulated more than $100 Million as a result of physician charitable contributions of their monetary/cash recoveries.


    Comment on this (Must be logged in to comment)

    Add Comment

    Text Only 2000 character limit

    Looking for more?