Under the agreement, both companies will stop using the Ingenix database system and will reprocess out-of-network claims and reimburse consumers where needed. The two companies will also contribute money towards the development of a new database to determine fair out-of-network reimbursement rates.
This agreement is part of Mr. Cuomo’s mission to end industry-wide conflicts of interest in determining out-of-network reimbursement rates. Mr. Cuomo previous reached agreements with Wellpoint, CIGNA Corp. and UnitedHealth Group.
Read about Mr. Cuomo’s agreement with Excellus and CDPHP.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.