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4 Feb 8:00 am by Tom D'Amore
January 13, 2009 UnitedHealth Group Inc. settled with the New York State Attorney General Andrew Cuomo after a probe of the independence of its database used to set reimbursement rates for patients' medical bills. The probe found that Ingenix operates a 'defective and manipulative' database used by major health insurers to set reimbursement rates for out-of-network medical expenses. The Ingenix skewed rates downard ...
Personal Injury Law Update - http://www.personalinjurylawupdate.com/damorelaw/
13 Oct, 2008 3:27 am by Michael Atkins
... argued, amounted to false association and unfair competition in violation of the Lanham Act. Ingenix moved for summary judgment based on Dr. Ott's alleged lack of standing ... result in harm to the other's reputation and good will." The court found that "Dr. Ott was not competing with Ingenix for the Montana project. To the contrary, he was willing, even eager, to help ... not fall within the scope of § 4 of the Restatement." The case cite is Ott v. Ingenix, Inc., 2008 WL 4459411, No. 07-201 (E.D. Wash ...
Seattle Trademark Lawyer - http://seattletrademarklawyer.com/blog/
11 Feb 1:00 pm by Bob Kraft
... Corp. over a database they say was rigged to underpay physicians for more than a decade. Here are excerpts from the article: The lawsuits heap more criticism on Ingenix Inc. data that already has cost UnitedHealth Group Inc. $350 million to settle a ... Ingenix is a UnitedHealth subsidiary. The latest complaints accuse Aetna of deleting valid high charges from figures contributed to an Ingenix database. They also accuse Cigna of hiding "serious, systemic flaws" in the data. Insurers use the data to ...
Personal Injury and Social Security Disability Blog - http://www.injury-and-disability.com/
9 Oct, 2008 7:32 am by Rebecca Tushnet
Ott v. Ingenix, Inc., 2008 WL 4459411 (E.D. Wash.) Ingenix helps state agencies develop fee schedules. At one point, Ingenix employed Ott as its Director of Research and Database. Ott left amicably and ... . Montana awarded a project to Ingenix, but Ingenix didn't hire Ott for it. Ott sued for false representation of sponsorship or approval under §43(a)(1)(A). Ingenix challenged his standing, invoking decisions on prudential standing from other circuits. But Ott wasn't using §43(a)(1)(B) to allege a ...
43(B)log - http://tushnet.blogspot.com/index.html
3 Nov 8:37 pm by Michael Atkins
Plaintiff Melvin Ott sued Ingenix, Inc., for false association under section 43(a)(1)(A) of the Lanham Act, claiming it falsely used his name and resume in bidding for a contract with the State of ... constitutes a 'trademark' or the 'equivalent of a trademark' (either through secondary meaning or otherwise), we conclude that he cannot demonstrate the requisite commercial injury to establish standing." The case cite is Ott v. Ingenix, Inc., 2009 WL 3416067, No. 08-35907 (9th Cir. Oct. 16, 2009).
Seattle Trademark Lawyer - http://seattletrademarklawyer.com/blog/
13 Oct, 2008 2:50 pm by Marty
... Trademark Lawyer: Eastern District (Washington) Dismisses Lanham Act Claim for Lack of Standing: Plaintiff Melvin Ott sued Ingenix, Inc., in the Eastern District for listing him as a consultant in a proposal it made to the State of Montana. The State of Montana awarded Ingenix ... consultant. This, Dr. Ott argued, amounted to false association and unfair competition in violation of the Lanham Act. Ingenix moved for summary judgment based on Dr. Ott's alleged lack of standing to assert such a claim. ...
Tags: Litigation
The Trademark Blog - http://www.schwimmerlegal.com/
14 Feb, 2008 7:30 am
... conducting an industry-wide investigation into a scheme by health insurers to defraud consumers by manipulating reimbursement rates. At the center of the scheme is Ingenix, Inc., the nation's largest provider of healthcare billing information, which serves as a conduit for rigged data ... are paid as a percentage of "usual and customary" (UCR). And who decides what's UCR? Well, apparently Ingenix does.Which raises an important, if impudent, question: so what?Someone has to set these rates, else what ...
InsureBlog - http://insureblog.blogspot.com/index.html
30 Mar 6:20 am by Bob Kraft
... of the Senate Commerce, Science and Transportation Committee, wants answers at a hearing Tuesday from the chief executives of UnitedHealth Group Inc. and its subsidiary Ingenix Inc., a claims database used by insurers nationwide to calculate out-of-network rates." The inquiry follows lawsuits "alleging that UnitedHealth and Ingenix manipulated rate data so insurers had to pay less and patients more for out-of-network services." Typically, " ...
Personal Injury and Social Security Disability Blog - http://www.injury-and-disability.com/
30 Mar 6:20 am by Bob Kraft
... of the Senate Commerce, Science and Transportation Committee, wants answers at a hearing Tuesday from the chief executives of UnitedHealth Group Inc. and its subsidiary Ingenix Inc., a claims database used by insurers nationwide to calculate out-of-network rates." The inquiry follows lawsuits "alleging that UnitedHealth and Ingenix manipulated rate data so insurers had to pay less and patients more for out-of-network services." Typically, " ...
P.I.S.S.D. -- Personal Injury, Social Security Disability. - http://www.pissd.com/
14 Jan 7:04 am
... known as HIAA, the Health Insurance Association of America. That data was sold to carriers and used in the same manner as data from Ingenix is today. At some point HIAA merged with other associations and eventually became AHIP (America's Health Insurance Plans) and ... ? UPDATE [HGS, 1/17/09]: Well, well, well:"Another health insurer, Hartford, Conn.-based Aetna Inc., also agreed Thursday to pay $20 million toward the creation of that database...UnitedHealth said Tuesday it will close the databases ...
InsureBlog - http://insureblog.blogspot.com/index.html
8 Nov 7:44 pm
... damages in ethanol processing patent suit: GS Cleantech Corporation v GEA Westfalia Separator, Inc and Does 1-20 inclusive (Green Patent Blog) Honeywell - Public version of initial ... of Appeals for the 7th Circuit: Use of Japanese legal term in US-based contract Sunstar Inc v Alberto-Culvar Company (IP Spotlight) (IP Law Blog) 9th Circuit finds name not a trade mark, so no false designation of origin: Ott v Ingenix (Seattle Trademark Lawyer) Precedential No 45: TIRES TIRES TIRES generic for, or ...
IP Thinktank - http://duncanbucknell.com/blog
8 Nov 7:44 pm
... damages in ethanol processing patent suit: GS Cleantech Corporation v GEA Westfalia Separator, Inc and Does 1-20 inclusive (Green Patent Blog) Honeywell - Public version of initial ... of Appeals for the 7th Circuit: Use of Japanese legal term in US-based contract Sunstar Inc v Alberto-Culvar Company (IP Spotlight) (IP Law Blog) 9th Circuit finds name not a trade mark, so no false designation of origin: Ott v Ingenix (Seattle Trademark Lawyer) Precedential No 45: TIRES TIRES TIRES generic for, or ...
IP Thinktank - http://duncanbucknell.com/blog
22 May 5:45 am by Michael J. Hassen
... are not part of the Aetna network," that is, to "nonparticipating" or "out-of-network" providers. In re Aetna, Inc., Out-Of-Network "UCR" Rates Litig., ___ F.Supp.2d ___ ( ... class action complaints, filed by Aetna health plan members, alleged "that (1) the Ingenix database of billing information was flawed leading to lower reimbursement rates; and (2) ... against Aetna are also pending before her." Id., at 2. Download PDF file of In re Aetna, Inc., Out-Of-Network "UCR" Rates Litigation Transfer Order
Class Action Defense Blog - http://classactiondefense.jmbm.com/
8 Nov 7:44 pm
... damages in ethanol processing patent suit: GS Cleantech Corporation v GEA Westfalia Separator, Inc and Does 1-20 inclusive (Green Patent Blog) Honeywell - Public version of initial ... of Appeals for the 7th Circuit: Use of Japanese legal term in US-based contract Sunstar Inc v Alberto-Culvar Company (IP Spotlight) (IP Law Blog) 9th Circuit finds name not a trade mark, so no false designation of origin: Ott v Ingenix (Seattle Trademark Lawyer) Precedential No 45: TIRES TIRES TIRES generic for, or ...
IP Thinktank - http://duncanbucknell.com/blog
         
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