The US Justice Department has entered a legal battle concerning MultiPlan (now Claritev), which is accused of algorithmic price fixing in healthcare. The lawsuits from New York, Illinois, and California allege that MultiPlan collaborates with health insurers, inflating out-of-network treatment prices through its calculation algorithms. This practice could suppress insurance payment rates and push more costs onto patients. MultiPlan denies the allegations, seeking dismissal of the case, while the Justice Department has issued a Statement of Interest, indicating its backing for the claims against MultiPlan's involvement in potentially anti-competitive practices.
MultiPlan’s algorithmic pricing strategy is under scrutiny for allegedly inflating out-of-network healthcare costs and leading to potential antitrust violations.
The Justice Department supports the claim that MultiPlan may engage in anti-competitive practices by cooperating with health insurance clients to suppress payout rates.
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