{"id":13971,"date":"2025-01-23T09:14:33","date_gmt":"2025-01-23T09:14:33","guid":{"rendered":"https:\/\/distilinfo.com\/healthplan\/?p=13971"},"modified":"2025-01-23T09:14:33","modified_gmt":"2025-01-23T09:14:33","slug":"multiplan-faces-major-antitrust-legal-battle","status":"publish","type":"post","link":"https:\/\/distilinfo.com\/healthplan\/multiplan-faces-major-antitrust-legal-battle\/","title":{"rendered":"MultiPlan Faces Major Antitrust Legal Battle"},"content":{"rendered":"<p class=\"whitespace-pre-wrap break-words\"><strong>The Core Legal Challenge<\/strong><\/p>\n<p class=\"whitespace-pre-wrap break-words\">MultiPlan and partnered insurers filed a motion to dismiss antitrust allegations from healthcare providers. The lawsuit consolidates multiple complaints against their collective pricing practices for out-of-network services.<\/p>\n<p class=\"whitespace-pre-wrap break-words\"><strong>Financial Impact Claims<\/strong><\/p>\n<p class=\"whitespace-pre-wrap break-words\">Plaintiffs allege the &#8220;MultiPlan Cartel&#8221; caused $19 billion in underpayments (2020) and $6.4 billion (Q3 2024). Major insurers like UnitedHealth, Elevance Health, Aetna, and Cigna are named co-conspirators.<\/p>\n<p class=\"whitespace-pre-wrap break-words\"><strong>Defense Arguments<\/strong><\/p>\n<p class=\"whitespace-pre-wrap break-words\">MultiPlan contends their pricing recommendations use public data sources, not competitor information. They cite previous similar lawsuits&#8217; dismissals and argue plaintiffs fail to establish antitrust standing.<\/p>\n<p class=\"whitespace-pre-wrap break-words\"><strong>Healthcare Access Concerns<\/strong><\/p>\n<p class=\"whitespace-pre-wrap break-words\">Provider representatives highlight rural hospital closure risks and financial strain on healthcare providers. They argue the litigation aims to restore market competition and ensure fair compensation.<\/p>\n<p><span data-teams=\"true\">Discover the latest <a id=\"menur1hf\" class=\"fui-Link ___1q1shib f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1s184ao f1mk8lai fnbmjn9 f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn\" title=\"https:\/\/distilinfo.com\/healthplan\/\" href=\"https:\/\/distilinfo.com\/healthplan\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Link payers' news updates\"><strong>payers&#8217; news updates<\/strong><\/a> with a single click. 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The lawsuit&#8230; <a href=\"https:\/\/distilinfo.com\/healthplan\/multiplan-faces-major-antitrust-legal-battle\/\" style=\"white-space: nowrap;\">Continue Reading <i class=\"fas fa-long-arrow-alt-right\" style=\"vertical-align: middle;\"><\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":13972,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[1],"tags":[157,195,269,771,766,770,768,765,767,769,104],"class_list":{"0":"post-13971","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-distilinfo-originals","8":"tag-aetna","9":"tag-cigna","10":"tag-elevance-health","11":"tag-healthcare-antitrust-litigation","12":"tag-healthcare-pricing-conspiracy","13":"tag-healthcare-provider-compensation","14":"tag-insurance-cartel-allegations","15":"tag-multiplan-antitrust-lawsuit","16":"tag-out-of-network-reimbursement","17":"tag-rural-hospital-closures","18":"tag-unitedhealth-group","19":"entry"},"_links":{"self":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/13971"}],"collection":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/comments?post=13971"}],"version-history":[{"count":2,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/13971\/revisions"}],"predecessor-version":[{"id":13983,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/13971\/revisions\/13983"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media\/13972"}],"wp:attachment":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media?parent=13971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/categories?post=13971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/tags?post=13971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}