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Skip to contentSkip to site indexSearch & Section NavigationSection Navigation SEARCH U.S. Try 7 days freeLog in Wednesday, May 29, 2024 Today’s Paper Try 7 days free U.S.|Senators See Possible Conflicts of Interest in Health Care Pricing Tools https://www.nytimes.com/2024/05/28/us/senate-multiplan-health-care-pricing.html * Share full article * * * U.S. SECTIONS * U.S. * Politics * New York * California * Education * Health * Obituaries * Science * Climate * Sports * Business * Tech * The Upshot * The Magazine U.S. POLITICS * 2024 Elections * Primary Results * Supreme Court * Congress * Biden Administration TOP STORIES * Trump Investigations * Immigration * Abortion * Campus Protests NEWSLETTERS * The Morning Make sense of the day’s news and ideas. * The Upshot Analysis that explains politics, policy and everyday life. See all newsletters PODCASTS * The Daily The biggest stories of our time, in 20 minutes a day. * The Run-Up On the campaign trail with Astead Herndon. 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Listen to this article · 6:35 min Learn more * Share full article * * * Read in app The New York office of MultiPlan, a data analytics firm.Credit...José A. Alvarado Jr. for The New York Times By Chris Hamby Chris Hamby has been investigating the lucrative business of out-of-network medical claims. May 28, 2024 The chairmen of two Senate committees overseeing health policy, concerned about companies “padding their own profits” at the expense of patients, are looking into the practices of a data analytics firm that works with big insurers to cut payments to medical providers. The firm, MultiPlan, recommends what it says are fair payments for medical care, but the firm and the insurers can collect higher fees when payouts are lower. This business model could “result in an improper conflict of interest,” the chairmen of the two committees, Ron Wyden of Oregon and Bernie Sanders of Vermont, wrote in a letter to the firm’s chief executive that was released on Tuesday. The senators called on MultiPlan to meet with the committees’ staffs to discuss an investigation last month by The New York Times that found the firm’s pricing tools could leave patients with unexpectedly large bills when they see doctors outside their health plans’ networks. “Our committees are engaged in ongoing legislative work to put a stop to practices by plan service providers that drive up health care costs for consumers while padding their own profits,” the letter to Travis Dalton, the MultiPlan chief executive, said. Advertisement SKIP ADVERTISEMENT In a statement, MultiPlan said it was working with the Senate committees “to address their questions and explain the cost and complexity patients can face” when choosing high-priced care outside their networks. “We are committed to helping make health care transparent, fair and affordable for all,” the statement said. The committees’ inquiry reflects growing scrutiny of the New York-based firm, which has largely remained out of the limelight even as it has staked out a dominant position in a lucrative corner of health care. Subscribe to The Times to read as many articles as you like. Chris Hamby is an investigative reporter for The Times, based in Washington. More about Chris Hamby See more on: Labor Department, U.S., U.S. Senate * Share full article * * * Read in app Advertisement SKIP ADVERTISEMENT SITE INDEX SITE INFORMATION NAVIGATION * © 2024 The New York Times Company * NYTCo * Contact Us * Accessibility * Work with us * Advertise * T Brand Studio * Your Ad Choices * Privacy Policy * Terms of Service * Terms of Sale * Site Map * Canada * International * Help * Subscriptions Enjoy unlimited access to all of The Times. See subscription options