United Paying Physicians

Payments are on the way to Texas physicians who used MCAG Group to file claims in a class action lawsuit against UnitedHealth Group over its out-of-network payment practices. MCAG says 1,427 checks totaling $10.7 million are in the mail to Texas practices and individual physicians.

TMA supported this and other suits challenging insurer practices by joining with other state medical societies in pursuing class action litigation against for-profit insurance companies and by being a founding member of The Litigation Center of the American Medical Association and State Medical Societies.

"We will continue to advocate for your interests in the Texas Legislature, in Congress, and in the courts," said TMA President Michael E. Speer, MD.

This particular case, brought by AMA and several other plaintiffs, alleged that UnitedHealth Group colluded with others to underpay physicians for out-of-network services. The suit sought relief for physicians who were seriously harmed by the insurer's long-term use of the Ingenix database, which has been shown to be rigged to allow insurers to shortchange payments.

Action, June 15, 2012