法官在医疗保健提供者提起的价格操纵案件中对医疗保险公司不利

2025-06-05 02:51

A federal judge in Chicago ruled that health insurers, including Cigna (NYSE:CI), UnitedHealth Group (NYSE:UNH), and CVS Health (NYSE:CVS) subsidiary Aetna must face lawsuits accusing them of conspiring to underpay claims to healthcare providers.
The cases center around MultiPlan, now known as Claritev, which handles out-of-network claims for the insurers. MultiPlan, along with the insurers, are named as defendants.
In a statement provided to Reuters, attorneys for the plaintiffs wrote the defendants "orchestrated a cartel through the sharing of competitively sensitive confidential pricing information to illicitly coordinate on out-of-network reimbursements."
In his ruling, U.S. District Judge Matthew Kennelly wrote that " whether or not MultiPlan's calculated rates are labeled as 'recommendations,' the plaintiffs plausibly allege that they are more akin to mandates."
Aetna told Reuters that "we stand ready to argue the substantive facts of the case and defend ourselves vigorously in this matter."

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