Aetna U.S. Healthcare has been hit with a class-action ERISA suit that says it violates the rights of its HMO members through secret financial incentives for doctors who put cost-cutting before their own medical judgment.

Ironically, the suit comes just days after AUSH persuaded a federal judge to dismiss similar a class-action RICO suit that accused it of promising its HMO customers high-quality care while secretly insisting that doctors cut costs.