Teaser - August 12th: BCBS Class Action Settlement & Claritev (MultiPlan) Antitrust Lawsuit
Insights & Key Developments
Two of the year’s most important legal developments are impacting behavioral healthcare providers — and August’s ROC Meeting will help you make sense of both.
BCBS Class Action Settlement: What It Means — Even After the Deadline
A major class action settlement is underway — and it directly affects behavioral healthcare providers. The $2.8 billion Blue Cross Blue Shield (BCBS) antitrust settlement applies to providers who delivered services to BCBS patients between July 24, 2008 and October 4, 2024.
Eligible claims are divided between facilities and medical professionals, with payments based on “Allowed Amounts” submitted or estimated through industry data. No supporting documentation is required up front, but claims must be filed by July 29, 2025.
Although the filing deadline will have passed by the time we meet, the implications for behavioral health providers are far from over. At this month’s session, we’ll break down:
✅ How providers were impacted
✅ How the claims process worked (and why it was confusing)
✅ What this means for pending payments and future legal precedent
✅ How this case can help providers prepare for future settlements
Whether you filed or not, this is an important opportunity to better understand how class action settlements work — and how your facility can be better positioned moving forward.
More information can be found here:
https://www.bcbsprovidersettlement.com/Preview/DocumentView
DOJ’s Case Against Claritev (MultiPlan)
In the April 2025 ROC Meeting, we featured a discussion on the DOJ’s antitrust case against Claritev (formerly MultiPlan). The lawsuit alleges that Claritev and major insurers used a shared pricing algorithm to coordinate reimbursement rates — potentially violating federal antitrust laws.
Key Takeaways for Providers:
Claritev is the new name for MultiPlan — contracts and services remain unchanged
The DOJ's involvement signals increased scrutiny on insurer practices
Providers may face reimbursement challenges — but could recover triple damages if the case succeeds
Join us in our next discussion for updates regarding this and action items.
📅 Mark your calendars to discuss more with both of these topics and come with questions. We’ll see you there!
Tuesday, August 12th
11:00 am - 12:00 pm PST I On Zoom
Erin Burke
CEO & Founder
Matt Lavin
Healthcare Litigation Attorney & Partner