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The American Medical Association and the Illinois State Medical Society have filed a lawsuit against MultiPlan, alleging involvement in a price-fixing conspiracy with health insurers that has led to unfairly low payments for out-of-network services. This scheme, reportedly in operation since 2015, has harmed both patients and physicians, forcing many medical practices to close or limit services. The lawsuit seeks to reform the out-of-network payment systems reliant on MultiPlan's practices, which have significantly increased the company's revenues while suppressing physician payments.
The American Medical Association (AMA) and the Illinois State Medical Society have filed an antitrust lawsuit against MultiPlan, alleging the company engages in price-fixing with major insurers, harming competition and forcing physicians to accept low reimbursement rates. The lawsuit claims MultiPlan's revenues from repricing out-of-network payments surged from $23 million in 2012 to $709 million in 2021, while also facilitating confidential information sharing among insurers to suppress rates. Major insurers like UnitedHealth Group, Aetna, and Cigna are named as co-conspirators in the case.
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ama and illinois medical society sue multplan for alleged price fixing
16:23 28.10.2024
ama files antitrust lawsuit against multplan for price fixing practices
MultiPlan Corporation
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23:45 24.10.2024
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