[net-gold] HEALTH: INSURANCE : MEDICAL: INSURANCE : UNITED STATES: STATES: CALIFORNIA: California Subpoenas Big Health Insurers' Financial Records



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HEALTH: INSURANCE :
MEDICAL: INSURANCE :
UNITED STATES: STATES: CALIFORNIA:
California Subpoenas Big Health Insurers' Financial Records




California Subpoenas Big Health Insurers' Financial Records
Prosecutors are seeking documents from Anthem, Aetna, Cigna, Blue Shield, Kaiser, Health Net and PacifiCare in a probe of whether they raised rates illegally and denied payment of legitimate claims. 
HEALTHCARE
February 25, 2010
By Duke Helfand and Marc Lifsher
Los Angeles Times
<http://articles.latimes.com/2010/feb/25/ business/la-fi-insure-subpoena26-2010feb26> 



A shorter URL for the above link:



<http://snipurl.com/uixxd>
Reporting from Sacramento and Los Angeles The California state attorney general's office said Thursday that it had subpoenaed financial records of California's seven largest health insurance companies as part of an investigation into whether they illegally raised customer premiums and denied payment of legitimate claims.
Prosecutors said they sought documents from Anthem Blue Cross, Aetna Health, Blue Shield of California, Cigna, Health Net, Kaiser Permanente and PacifiCare.
The subpoenas -- of financial records and other documents -- cover health plans that reimburse doctors and hospitals for their services.
Also Thursday, the state Assembly's Rules Committee authorized a subpoena to force Anthem to hand over documents related to proposed rate hikes of as much as 39% for California customers' individual policies.
The dual legal efforts are under way as Anthem and other health insurers nationwide face stepped-up scrutiny over rate hikes by regulators, members of Congress and the Obama administration. President Obama is seeking greater federal authority over insurance-premium increases as part of his national healthcare overhaul.
The investigation into the denial of insurance claims submitted by doctors, hospitals and other providers began in September. California Atty. Gen. Jerry Brown said his office served subpoenas to the same companies in January over the practices of their HMOs.
"We have been looking at these companies for a number of months and are very concerned that some of them are unjustly raising premiums and denying payment of legitimate claims," Brown said in a statement. "Not only are the rate increases devastating to Californians strapped by the economy, but in some cases, they are possibly illegal." 





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