When small, independent providers want to negotiate with multiple health plans, large insurers exert enormous pressure to stop them. The statewide trade group for doctors in New York sued UnitedHealth Group Inc., the nation’s second-largest health insurer by enrollment, for allegedly using illegal coercion in just such a scheme to limit In a separate matter UnitedHealth agreed to pay $400 million to settle multiple suits alleging price fixing and other anti-competitive The attorney general of New York, Andrew Cuomo, stated that this was, “a huge scam that affected hundreds of millions of Americans [who were] ripped off by their health insurance companies.”29 Numerous other insurers were implicated in the same scheme, including Aetna Inc., Cigna.