Close Close
Popular Financial Topics Discover relevant content from across the suite of ALM legal publications From the Industry More content from ThinkAdvisor and select sponsors Investment Advisor Issue Gallery Read digital editions of Investment Advisor Magazine Tax Facts Get clear, current, and reliable answers to pressing tax questions
Luminaries Awards
ThinkAdvisor

Life Health > Health Insurance > Health Insurance

Empire State Finds Network Rule Violators

X
Your article was successfully shared with the contacts you provided.

The New York State Insurance Department says some doctors have been courting state and local employees by having the state health insurance plan pay extra charges for out-of-network care.

State regulators have found that 20 medical providers waived out-of-network charges for participants in the New York State Health Insurance Program and then compensated by inflating the bills submitted to NYSHIP, officials say.

The arrangements cost NYSHIP about $14 million, officials say.

State agencies have recovered about $9 million from 5 of the providers and persuaded 4 to participate in the NYSHIP provider network, officials say.


NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.