Becker's Healthcare April 29, 2024
Data analytics firm MultiPlan is facing another lawsuit alleging that it conspired with major payers to underpay providers by tens of billions annually.
The lawsuit, filed by Shreveport, La.-based Allegiance Health Management, alleges that by 2022, MultiPlan used its repricing tools to fix prices on 370,000 out-of-network claims daily for more than 700 payers, which has resulted in $22 billion in underpayment annually. Underpayments purportedly rose to $22.9 billion in 2023.
The for-profit system’s lawsuit was filed April 22 in an Illinois federal court and also names payers Health Care Service Corp., Aetna, Elevance, Centene, Cigna, UnitedHealth Humana and Kaiser Permanente.
Allegiance alleges the “widespread use of MultiPlan’s repricing tools, particularly among the biggest health insurers, gives plaintiffs...
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