
Law Suit Filed Against Anthem for Discrimination, Violating Federal Law
Plaintiffs in this lawsuit claim that CPT coding policy has resulted in decreased reimbursement for psychiatrists, who will now receive 20% less for evaluation and management services than what Anthem pays other physicians.
The Connecticut Psychiatric Society, the
According to the suit, the plaintiffs asked “the Court to declare that the Defendants’ direct and indirect discrimination against mental health patients is illegal and to compel the Defendants’ compliance with the mandates of federal and state law which require that they provide mental health benefits to their enrollees in parity with the medical/surgical benefits they provide.”3
Specifically, the plaintiffs claim that the company's CPT coding policy has resulted in a decrease in reimbursement for psychiatrists, who will now receive 20% less for evaluation and management services than what Anthem pays other physicians. In addition, since the new
The “APA worked hard to ensure passage of the MHPAEA so that mental health patients would not be deprived of treatment or stigmatized for seeking it,” commented APA President Dilip Jeste, MD. “Anthem, Wellpoint companies, and others throughout the U.S. need to start respecting the law and our members’ patients and not directly or indirectly inhibit access to the treatment for which the patients and their employers have paid.”1
The suits follows letters and complaints from the Connecticut Psychiatric Society, the APA, and the Connecticut State Medical Society regarding
References
1. Press Statement. American Psychiatric Association and Others Seek Court’s Intervention in Compelling Anthem and Wellpoint to End Alleged Discrimination Against Mental Health Patients. April 11, 2013.
2. Stuart C. In Lawsuit, Psychiatrists Claim Anthem Discriminates Against Mental Illness. CT News Junkie. April 11, 2013.
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