Category Archives: Benefits

Cuomo to Investigate Insurers, Including AETNA

The New York Times has reported that New York's Attorney General Andrew Cuomo is investigating several insurance companies, including AETNA, for underestimating the "reasonable" rate of medical charges when a patient uses an out-of-network provider.  Typically, in such cases (including my out-of-network plan) insurers pay 80% of what they determine to be the prevailing rate [...]
Comments Off | By Suzanne | February 15th, 2008

AETNA making decisions instead of doctors?

Who makes decisions on how to perform medical procedures, doctors or HMO's?  This piece about AETNA demonstrates that doctors have to fight the HMO's to have the power to make the right decisions for their patients.  Will this kind of situation ever be resolved unless this country takes the profit out of healthcare? –Suzanne Verderber 
Comments Off | By Suzanne | February 5th, 2008