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.

Last Updated On

September 30, 2010

Originally Published On

March 23, 2010

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