July 2024: ROC Monthly Mastermind Call
July 2024: ROC Monthly Mastermind Call
MultiPlan Investigation Updates with Matt Lavin
Recap of Recent Multiplan Federal Hearing Investigation
The recent Multiplan federal hearing investigation has brought significant attention to the practices affecting all healthcare industries, with a special focus on behavioral healthcare providers. This is an opportune moment for us to push for meaningful changes in our space.
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Why This Lawsuit Matters
The Multiplan investigation is a significant step towards addressing unfair practices in healthcare reimbursement. By participating, you ensure that your facility's interests are represented, and you contribute to the broader effort to reform payment practices in the industry.
Steps to Take
Lawyer Up: It's time to consult with legal experts to get your facility listed in the litigation. This ensures you are part of the process and can receive regular updates on the case.
Determine Eligibility: Assess the types of claims your facility can submit – and keep in mind every plan may have different criteria. Things to consider:
Underpayment Claims: Identify any pricing that falls below what your plan stipulates. This constitutes damage.
Multiplan Priced Claims: Include any claims that were adjusted or negotiated by Multiplan.
Extortion vs. Negotiation: Even if you accepted lower payments, this is considered extortion rather than genuine negotiation.
Data iSight or Viant Payments: If payments were adjusted through these services, you might still be underpaid.
Historical Claims: You can submit claims dating back four years, but it's advisable to consider going back five years. Let the defendants argue about the statute of limitations.
Identify Relevant Payors: Include all payors that have been sending you Multiplan-related payments.
What to Expect
The timeline for resolving such cases typically spans around two years until settlement. However, this can vary based on the court's actions. Importantly, there are no downsides or risks of being specifically targeted for participating in the lawsuit.
Join the Movement
A significant number of complaints are being filed by large hospital systems, and it's crucial that addiction and mental health systems are also represented. By standing together, we can push for fair reimbursement practices and ensure that our sector receives the attention it deserves.
If you're already a client involved in the case, you will continue to receive regular updates. If not, now is the time to consider getting involved and ensuring your facility is listed in the litigation.
Stay informed through ROC and be proactive in this critical movement for change in healthcare reimbursement practices. If you have received any price payments from ANY payors, you can participate by providing confirmation of these payments. For more information or to join the class action, please contact Matt Lavin for assistance.
Additional Resources:
Have more questions? Reach out to Matt!
Matt Lavin
Healthcare and Commercial Litigation partner
Arnall Golden Gregory
matt.lavin@agg.com
202.677.4959