Medscape October 29, 2024
Alicia Ault

Physician anger at the data analytics firm MultiPlan is intensifying, with the American Medical Association (AMA) being the latest to sue the data analytics company over inadequate payments.

MultiPlan helps insurers to “identify and negotiate fair reimbursements for out-of-network claims,” among other services, according to its website. But multiple lawsuits allege the company has colluded with its insurer clients to enrich itself and the insurers at the expense of physicians.

In the AMA lawsuit, which was filed in the Northern District of Illinois and joined by the Illinois State Medical Society (ISMS), the organizations call MultiPlan “a far-reaching and unlawful cartel involving the nation’s largest health insurers.”

MultiPlan is orchestrating “a horizontal, multilateral price-fixing scheme” that “depresses payments for...

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Topics: Analytics, Insurance, Physician, Provider, Technology
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