The following statement is attributable to:
Bruce A. Scott, M.D.
President, American Medical Association
“Today’s ruling is the clearest statement yet by a court that MultiPlan’s lack of transparency, accuracy and integrity in the insurer-run system for paying out-of-network medical bills is an antitrust violation.
“Reimbursement rates have been corrupted by MultiPlan and their secretive price fixing cartel that benefitted most health insurers. Patients and physicians have paid a price for the scheme. MultiPlan and the commercial health insurance companies have profited from the rigged system, while forcing physicians to accept lower and lower payment amounts for out-of-network services—payments that in many cases do not cover the cost of delivering care to patients.
“Ending this conspiracy is a good start toward creating an open and honest system that will restore fair reimbursements and help ensure patients have access to the care they need.”
Editor’s Note: The AMA announced its lawsuit against Multiplan in October. For additional AMA perspective on the case, please see this viewpoint by AMA President, Bruce A. Scott, M.D.
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About the American Medical Association
The American Medical Association is the physicians’ powerful ally in patient care. As the only medical association that convenes 190+ state and specialty medical societies and other critical stakeholders, the AMA represents physicians with a unified voice to all key players in health care. The AMA leverages its strength by removing the obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises and, driving the future of medicine to tackle the biggest challenges in health care.
