LGN Files Multiplan Out-of-Network Health Insurance Lawsuit

The healthcare industry has been and continues to be plagued by significant financial challenges. Costs to providers are surging and sustaining operations has become a struggle for hospitals and other patient care centers. Many hospital systems have gone bankrupt over the last several years. Others, facing financial ruin, have been bought up by private equity companies. These consolidations leave patients with fewer healthcare options. Commercial health reimbursements comprise the majority of healthcare providers’ revenue. Providers therefore depend upon competition among commercial health insurers to ensure that commercial insurance reimbursement rates are sufficient to cover costs and preserve patient access to healthcare across the United States.

On behalf of out-of-network healthcare providers nationwide, Lockridge Grindal Nauen has filed a lawsuit alleging that beginning in or around July 2017, the reimbursements that providers nationwide have received for the out-of-network services they provided have been illegally suppressed as a result of a conspiracy between the commercial health insurance companies in the United States and MultiPlan, a claims “repricing” service. The lawsuit alleges a price-fixing conspiracy between these companies, through which these defendants perversely reap enormous profits off of the spread between what a provider claims for a given medical service and what the insurer actually pays.

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