Aetna Accuses Radiology Group of Weaponizing No Surprises Act; Firm Denies Claims
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Jan 10, 2025
CVS Health Corp.-owned Aetna recently filed a lawsuit alleging that the largest radiology provider company in the U.S. and one of the practices it owns engaged in a “multi-phase health care fraud scheme.” Aetna claims Radiology Partners, Inc. overbilled the insurer tens of millions of dollars, drove up costs for patients and plan sponsors and took advantage of a provision of the No Surprises Act (NSA) for settling out-of-network disputes.
But a Radiology Partners spokesperson tells AIS Health that the company and Mori, Bean and Brooks, Inc. (MBB) “strongly dispute Aetna’s allegations and stand by the integrity of its owned and affiliated practices, which comply with all applicable health care laws and regulations and ordinary business practices.” MBB is a Jacksonville, Florida-based practice that Radiology Partners acquired in 2018.
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