knowledge -WSS

knowledge

author：hotspot 2025-09-30 13:14:11 - browse：277

MultiPlan is facing a new class action lawsuit that alleges the company and large health insurers “conspired to fix, suppress, and stabilize” payments made for out-of-network medical claims.

The lawsuit, filed by for-profit hospital company Allegiance Health Management, builds on the contentious relationship between hospitals and MultiPlan, a data technology vendor that works with the biggest insurers to determine how much should be paid for care that is delivered outside of an insurance network. It comes just weeks after the New York Times published an investigation detailing how MultiPlan and its insurance company clients make more money by low-balling payments to hospitals.

The lawsuit further lays bare some of the warped incentives that exist within the health care system: out-of-network providers billing inflated amounts, insurers profiting by making sure those payments are as low as possible, and patients stuck in the middle with bills they often cannot afford.

STAT+ Exclusive Story

Already have an account? Log in

This article is exclusive to STAT+ subscribers

Unlock this article — plus in-depth analysis, newsletters, premium events, and networking platform access.

Already have an account? Log in

Monthly

$39

Totals $468 per year

$39/month Get Started

Totals $468 per year

Starter

$30

for 3 months, then $39/month

$30 for 3 months Get Started

Then $39/month

Annual

$399

Save 15%

$399/year Get Started

Save 15%

11+ Users

Custom

Savings start at 25%!

Request A Quote Request A Quote

Savings start at 25%!

2-10 Users

$300

Annually per user

$300/year Get Started

$300 Annually per user

View All Plans

Get unlimited access to award-winning journalism and exclusive events.

Subscribe Log In

Previous article： State Dept. review finds Biden bears some blame for Afghanistan failures
Next article： How I helped Pfizer think through the ethics of Viagra

hotspot

WSS

FDA scientists endorse Pfizer/BioNTech Covid

Pharma showers House GOP doctor with campaign cash

Readout LOUD podcast: Biotech layoffs, stock slump, 2024 preview

Eli Lilly, Pfizer, and others want in on the online prescription market

Dewpoint Therapeutics lays off staff after losing partnerships

2 officers injured in shooting in Orlando, police say

leisure time

knowledge

This article is exclusive to STAT+ subscribers

Unlock this article — plus in-depth analysis, newsletters, premium events, and networking platform access.

hotspot

Activists slam private health insurers over coverage restrictions

FAA sets up new process for Hawaii air tour operators to fly at lower altitudes after fatal crashes

Medical leaders decry Supreme Court decision on affirmative action

Readout Newsletter: BridgeBio, Madrigal, and Silicon Valley Bank

Hollywood unions extend contract negotiations for actors

Heart disease in astronauts blamed on cosmic radiation

George Santos makes 1st court appearance after pleading not guilty to 13 counts

Alnylam reports growth in sales of rare disease treatments

How to save PrEP access — and even expand it

Who is Jack Smith, the special counsel overseeing the DOJ's Trump probes?

focus

EU regulator recommends expanding Mounjaro approval to obesity

AI generated plenty of interest at JPM but not a lot of trust

Prior authorization will have to move faster under new Biden rule

How I helped Pfizer think through the ethics of Viagra

Alnylam reports growth in sales of rare disease treatments

Eli Lilly, Pfizer, and others want in on the online prescription market

hotspot

hotspot

knowledge

explore