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Wednesday, May 1, 2024
Today’s Paper
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U.S.|In Battle Over Health Care Costs, Private Equity Plays Both Sides

https://www.nytimes.com/2024/04/07/us/health-insurance-medical-bills-private-equity.html
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IN BATTLE OVER HEALTH CARE COSTS, PRIVATE EQUITY PLAYS BOTH SIDES

As medical practices owned by private equity firms fuel overbilling, a payment
tool also backed by such investors helps insurers boost their profits.

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Andrew Faehnle, right, was on the hook for more than two-thirds of an ambulance
bill after his 14-year-old was rushed to an emergency room.Credit...Madeleine
Hordinski for The New York Times

By Chris Hamby

April 7, 2024

Insurance companies have long blamed private-equity-owned hospitals and
physician groups for exorbitant billing that drives up health care costs. But a
tool backed by private equity is helping insurers make billions of dollars and
shift costs to patients.

The tool, Data iSight, is the premier offering of a cost-containment firm called
MultiPlan that has attracted round after round of private equity investment
since positioning itself as a central player in the lucrative medical payments
field. Today Hellman & Friedman, the California-based private equity giant, and
the Saudi Arabian government’s sovereign wealth fund are among the firm’s
largest investors.

The evolution of Data iSight, which recommends how much of each medical bill
should be paid, is an untold chapter in the story of private equity’s influence
on American health care.

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Chris Hamby is an investigative reporter for The Times, based in Washington.
More about Chris Hamby

A version of this article appears in print on April 8, 2024, Section B, Page 1
of the New York edition with the headline: Tool Helps Insurers Shift Costs To
Patients. Order Reprints | Today’s Paper | Subscribe
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