The creator of Ingenix, United Healthcare, entered into a $350 million class settlement in 2009 for out-of-network underpayments. The New York Attorney General investigated United and Ingenix and concluded that the database was rigged to understate the value of medical services. The Attorney General settled with United and more than a dozen other health insurers, including Aetna, over their use of the database.
Counsel for the settling plaintiff class is in the process of determining whether Aetna has properly terminated the settlement. Assuming it was properly terminated, the class action lawsuits against Aetna will resume toward trial.
The North Carolina Medical Society (NCMS) and numerous other state medical societies also had sued Aetna over its use of Ingenix, but were not parties to this settlement agreement. The medical societies’ claims had been dismissed after a federal court in Miami determined they were barred under earlier settlements reached with Aetna in 2005 over federal RICO claims. That court’s decision is currently on appeal.