MultiPlan, UnitedHealth Beat Appeal Over Reimbursement Rates (1)

Data analytics firm MultiPlan Inc. and a UnitedHealth Group Inc. affiliate defeated a Second Circuit appeal in a case alleging they illegally lowered reimbursement rates to out-of-network providers.

A New York federal court correctly determined that Long Island Anesthesiologists PLLC’s allegations were insufficient to constitute a cognizable antitrust injury, the US Court of Appeals for the Second Circuit said in a summary order Friday.

“It is true that out-of-network anesthesiology providers may be injured by low reimbursement rates,” the appellate court said."However, that injury is not an antitrust injury.”

The Second Circuit decision ends a case filed in 2022 by ...