UnitedHealthcare has agreed to shut down the controversial system it uses to determine "usual, customary, and reasonable" (UCR) charges – a system the American Medical Association and New York State Attorney General Andrew Cuomo called a scheme to defraud patients and physicians on medical bills for out-of-network services. The company also agreed to pay to develop a new system to determine fair out-of-network reimbursement rates.
In a settlement with the attorney general's office, United said it will close the database of billing information used by Ingenix, a wholly-owned subsidiary of United. Ingenix is the nation's largest provider of health care billing information. United and the largest health insurers in the country rely on the Ingenix database to determine their UCR charges. The Ingenix database uses the insurers' billing information to calculate UCR rates for individual claims by assessing how much the same, or similar, medical services would typically cost, generally taking into account the type of service and geographical location. Under this system, insurers control reimbursement rates that are supposed to fairly reflect the market.
As for Mrs Edward's claim, I am sure she put stock options in her calculation. How does the three-quarters of a billion work out year to year?
Sick for Profit - Insurance CEOs
According to this site, he will earn approx. $127,001,281 in stock options for 2009.