It was the case that was going to overhaul the way for-profit HMOs do business and enhance the rights of patients and physicians in dealing with the giant health insurers. It also was supposed to be the next big case since Big Tobacco, bringing a huge payday for plaintiffs attorneys.

By the time the case concluded last week in the Miami courtroom of U.S. District Judge Federico A. Moreno, it did bring some big payoffs to lawyers. But it’s not clear how much good the massive federal class action case did for the nation’s medical consumers and providers.

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