'Like a mafia enforcer for insurers:' AdventHealth sues MultiPlan for alleged price fixing
By Admin | August 11, 2023
Altamonte Springs, Fla.-based AdventHealth is suing MultiPlan for an alleged ongoing conspiracy among commercial health insurers to reduce the reimbursement rates they pay to providers for out-of-network services.
The health system alleges in the lawsuit filed in New York federal court that MultiPlan's horizontal repricing agreement with "virtually every other significant health insurance payer" has underpaid providers by $19 billion annually. Those payers include UnitedHealth, Health Care Service Corp., Cigna, Centene, Elevance and Aetna.
AdventHealth alleges that MultiPlan takes a cut of the money that the payers withhold from providers.
"MultiPlan knows it can get away with acting, in the words of an analyst, 'like a mafia enforcer for insurers,' because virtually every commercial healthcare payor has agreed to...(More)
For more info please read, 'Like a mafia enforcer for insurers:' AdventHealth sues MultiPlan for alleged price fixing, by Becker's Hospital Review