PHOENIX (CN) — Arizona Attorney General Kris Mayes sued one of the nation’s largest preferred provider healthcare networks on Monday, accusing it and eight large insurance companies of operating a price-fixing scheme that underpaid hospitals and overcharged patients for out-of-network care.
For years, MultiPlan and insurers Aetna, Cigna, UnitedHealthcare, Humana, Elevance, Molina, Centene and Health Care Service Corp. have relied on a shared AI-powered algorithm to decide how much to pay physicians for out‑of‑network care, which relied in part on their collective sharing of confidential claims payment information with and through MultiPlan, Mayes says in a lawsuit filed in Maricopa County.
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