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#1 out of 2
business1d ago
Mayes accuses MultiPlan, insurance companies of illegal colluding to shortchange medical providers
- Arizona AG Mayes sues MultiPlan and insurers for allegedly coordinating to lower provider payments and raise patient costs.
- The suit accuses MultiPlan of using insurer data to determine the lowest possible payments and feeding those amounts into an algorithm.
- Mayes says the scheme harmed patients, doctors, and hospitals, especially in private practices and rural areas.
- The AG seeks to restore profits, reimburse patients and providers, and halt further coordination.
- Insurers named in the suit, including Aetna, denied the allegations and vowed to defend themselves.
- The suit claims consumers face higher costs for out-of-network care due to the alleged scheme.
- The AG ties the case to a prior Ingenix settlement over deflated reimbursements.
- The lawsuit alleges violation of Arizona’s Consumer Fraud Act.
- The case centers on how PPO plans impact patient costs and provider payments.
- The AG’s office seeks court orders to disgorge profits earned through the scheme.
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