A fairer deal for doctors

Another National Law Journal article, entitled “A fairer deal for doctors,” described Edith Kallas’s work in obtaining a settlement with Wellpoint Health Networks in In re Managed Care Litigation, in which the insurer agreed to pay over $200 million and implement fundamental changes in their payment practices costing the company an additional $250 million. In addition, Wellpoint agreed to change its definition of “medical necessity” to afford physicians more control over treatment decisions, to make its payment practices more transparent, and to implement important compliance and appeals processes. The article noted that the Wellpoint settlement was only the most recent settlement on behalf of physicians in the multi-district litigation, and that it brought the total value of such settlements to over $1.5 billion.