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Article: Aetna, AMA lock horns over Medicare payment.(Practice Trends)(American Medical Association )

Article from:
Internal Medicine News
Article date:
March 1, 2008
Author:
Copyright

Aetna Inc. has announced that it is working with the American Medical Association and state medical societies to resolve issues involving non-participating physicians after the AMA complained that the insurer was paying those physicians just 125% of Medicare rates and then telling patients they didn't need to pay the rest.

In a letter to Aetna, Dr. Michael Maves, AMA's chief executive officer and senior vice president, noted that Aetna's policy--which was implemented last June--fails to take into account different practice costs that are reflected by physicians' billed charges.

"It is simply arbitrary and capricious for Aetna to deem 125% of Medicare to ...

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