Health Insurers’ Lucrative, Little-Known Alliance: 5 Takeaways

2024-04-07 07:02:05.440000+00:00 - Scroll down for original article

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To investigate this largely hidden facet of the health care industry, The Times interviewed more than 100 patients, doctors, billing specialists, health plan advisers and former MultiPlan employees, and reviewed more than 50,000 pages of documents, including confidential records made public by two federal judges after petitions from The Times. Here are five takeaways. The smaller the payout to doctors, the bigger the fees for insurers and MultiPlan When patients see medical providers outside their plans’ networks, UnitedHealthcare, Cigna, Aetna and other insurers often send the bills to MultiPlan to recommend a payment amount.