I received another class action notice in the mail today. Lawsuits on behalf of physicians against health care insurers are becoming more common. As far as I am concerned, all insurance companies play games in the process of approvals and payment for care. I have not seen a notable exception to this statement.
Name another business in which payment for a service often takes months even when approval has been obtained in advance. How about a business in which the contractor cannot determine the rates for their services? Or better yet one in which the discount taken by the company (the so called Provider discount) is routinely two thirds of the charge. I honestly don't know how Provider doctors make a living!
These suits get me from two opposing viewpoints:
(1) Good. They (the insurers) are getting theirs.
(2) Bad. Funds that should have been paid to physicians are just going to lawyers. These suits generally enrich the law firms much more reasonably than they do the doctors for whom the suits are supposedly being filed.
I'll bet we will see more of these suits.
John Di Saia MD
Cosmetic Surgery Truth Blog