- Arizona AG Kris Mayes sued MultiPlan and several major health insurers, alleging violations of the Arizona Uniform State Antitrust Act and Arizona Consumer Fraud Act based on an alleged price-fixing scheme to suppress payments for out-of-network care.
- According to the complaint, the insurers allegedly used MultiPlan’s shared pricing algorithm and pooled confidential claims and payment data rather than independently setting reimbursement rates, resulting in artificially low payments to doctors, hospitals, and other providers.
- The AG alleges the scheme harmed Arizona patients and providers by increasing patients’ risk of higher out-of-pocket bills, straining providers financially, and reducing access to care, particularly in rural areas and mental-health clinics.
- Arizona seeks a permanent injunction, restitution for harmed patients, providers, and employers, disgorgement of profits, civil penalties, and other relief.