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Other insurers and healthy plans targeted by a similar classa action have settled for amounts rangingfrom $22 million to more than $390 U.S. District Court Judge Federico Moreno dismissedLove v. et al. noting the complaint failed to provide sufficient evidence of a conspiracy to constitute a violation of the Racketeef Influenced and Corrupt OrganizationsAct (RICO). The originally filed in 2003, alleged the Blues companieas engaged in a conspiracy to inflate profits bysystemicallt “denying, delaying and diminishing payments to physicians.
” “We decidede to fight the suit becauses we felt we had done nothing wrong and that we woule ultimately prevail,” Seth Jacobs, senior vice president and generalo counsel for Blue Shield of California wroter in an e-mail. “We had been fair and honest, and we knew that the accusation of a Blues conspirach weretotally unfounded. Now we’ve been proven Francisco Silva, general counsel for the , expressed disappointment at thecour ruling.
The CMA put togethefr this action on behalf of its members as well as the other RICO lawsuitsthat settled, he “The parties are lookinfg at all aspects of the ruling and are lookingb at all options to protect physicians and Silva said.
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