College of Physicians and Surgeons of Puerto Rico Join Lawsuit Against Health Plans
Ongoing Suit Has Led to Major Reforms with Two Major HMOs
Tuesday, September 14, 2004:
The College of Physicians and Surgeons in
Puerto Rico has joined a lawsuit against several health plans from the Blue
Cross-Blue Shield network, including Triple S and Blue Cross of Puerto Rico,
under the civil RICO (Racketeer Influenced and Corruption Act) laws. The
College of Physicians and Surgeons, on behalf of all Puerto Rican physicians,
joins the lawsuit with over 700,000 physicians in Florida, Texas, California,
Connecticut, Georgia, Louisiana and other states. The lawsuit will be seen at
a Florida Court.
Class Action status for the RICO claims were affirmed in the 11th Circuit Court of Appeals on September 1, 2004. This is a major victory for the physicians affirming their original charges against health insures. Opponents to this suit long claimed the 11th circuit would rule in favor of the defendants. Full Story...
Massive HMO suit gets thumbs up
- 09/14/04
Article from AmedNews
Online
The doctors' case will go forward as a class action.
In what is being seen as a huge victory for physicians, a federal appeals court upheld class-action status for a lawsuit alleging that several major health insurers had systematically underpaid them.
The decision by a panel of the 11th U.S. Circuit Court of Appeals in Atlanta is a turning point in the case, legal experts said. Without such status, the 900,000 active and retired physicians represented would have had to pursue their claims individually.
Archie Lamb, co-lead counsel representing the physicians and medical societies, was pleased.
"Five years ago when we first filed, the ripple of laughter was fairly loud," he said. "...The vindication that is evident in this ruling is something that all the medical society leaders and doctors ought to be extremely proud of." Full Story...
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