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New York AG concerned about Aetna, Cigna physician rankings

Managed Care Weekly Advisor, August 22, 2007

New York Attorney General Andrew M. Cuomo recently warned two major health insurers over concerns that their physician ranking programs could confuse or deceive patients.

According to the Baltimore Business Journal, Cuomo wrote letters to the insurers asking them to justify the ranking system and saying he was concerned with the design and scope of the program. Cuomo said the ranking systems are based on claims data, and the insurers do not disclose the accuracy of their rankings. Aetna and Cigna are two of the largest insurance providers in Maryland.

Inaccurate ranking programs may cause financial harm to consumers, who may visit doctors recommended by insurers because of low copayments and deductibles. A Cigna spokesman says the company is still reviewing Cuomo's letter.

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