Beautyman Prevails Against HMO's
We have been campaigning on the litigation, regulatory, and administrative fronts to overcome HMO abuses. On behalf of our clients, we have recently:
- Sued and obtained $1.8 million
plus attorneys fees from an HMO.
- Met with the Attorney General's
office to discuss HMO abuses.
- Filed complaints with the Department
of Insurance and the Department of Health.
- Prepared letters to Congress
and state legislators and regulators.
- Submitted to HCFA proposed revisions
in the laws.
- Augmented our database to compare and track reimbursement rates.
OF NOTE:
Aetna increased its premiums 7%, and its operating profits 15%, while decreasing reimbursement to providers.
Capital Blue Cross added $11.2M to its unallocated reserves in 1998.