California physician groups sued health insurer Aetna Inc. Tuesday for a slate of business practices the doctors say limit patients' choices, the latest salvo in a classic standoff between managed-care and medical practices.
In February, Aetna sued some of the same doctors bringing Tuesday's allegations, saying the physicians schemed to inflate their bills to the insurer for a raft of services by nearly 800%, raising health-care costs for members.
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Source: The Wall Street Journal
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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