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Out-of-Network Pricing Lawsuits Test MultiPlan, Zelis Business Models
Healthcare Financial Management Association [HFMA]; registration may be required
Apr. 21, 2026 "Billions of dollars and implications for the business models of insurers and pricing vendors are on the line in litigation against MultiPlan (now known as Claritev) and Zelis, along with their insurer clients. In each case, plaintiff providers say insurers conspired with a pricing intermediary to underpay out-of-network claims by deploying repricing tools or algorithms. Both vendors are alleged to have served as a hub that coordinates prices among insurers that otherwise would compete with one another on price." MORE >> |
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