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Biotech / Medical : HRC HEALTHSOUTH

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To: Tunica Albuginea who wrote (49)11/28/1999 2:10:00 AM
From: Tunica Albuginea  Read Replies (1) of 181
 
Scruggs Team, Targeting HMOs,Files Five More Federal Lawsuits

Scruggs Team, Targeting HMOs,Files Five More Federal Lawsuits

November 24, 1999ÿ

ÿ By a WALL STREET JOURNAL Staff Reporter
ÿ HATTIESBURG, Miss. -- A legal team led by attorney
ÿ Richard Scruggs filed five more lawsuits against some
ÿ of America's top health-maintenance organizations,
ÿ alleging they use "fraudulent and heavy-handed
ÿ extortionate conduct" to limit patient care.

ÿ The suits, filed in federal court here, increase pressure
ÿ on HMOs to treat patients more generously or risk facing
ÿ huge court judgments.

ÿ The lawyers, many of whom helped engineer nationwide
ÿ legal action against the tobacco industry, filed their first
ÿ national lawsuit against Aetna Inc., Hartford, Conn.,
ÿ early last month.

ÿ Combined, the group's suits seek to represent nearly 50
ÿ million people insured by HMOs. The companies named
ÿ in the suits are Philadelphia's Cigna Corp., Foundation
ÿ Health Systems Inc. of Woodland Hills, Calif., Humana
ÿ Inc., Louisville, Ky., PacifiCare Health Systems Inc. of
ÿ Santa Ana, Calif., and Prudential Insurance Co. of
ÿ America, Newark, N.J., whose Prudential HealthCare
ÿ unit was acquired in August by Aetna.

ÿ The companies said they hadn't seen the complaints, but
ÿ they called the allegations baseless. "This appears to be
ÿ an orchestrated effort on the part of a small group of
ÿ well-funded attorneys to use the court system to create
ÿ enormous fees for themselves while doing serious
ÿ potential damage to the world's best health-care system,"
ÿ Cigna spokesman Wendell B. Potter said. Prudential
ÿ spokesman Robert DeFillippo said only that the
ÿ company no longer owns Prudential HealthCare.

ÿ Hiram Eastland, a member of the legal team, said the
ÿ goal wasn't to destroy HMOs but to "level the playing
ÿ field for physicians and patients" in their dealings with
ÿ managed-care companies.
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