10/01/2025
Earlier this month, APTA and APTA Private Practice joined the MultiPlan Antitrust Litigation as plaintiffs. This federal antitrust litigation alleges a conspiracy to systematically underpay physical therapists and other health care providers for reimbursements of out-of-network services.
This case is against MultiPlan (recently rebranded as Claritev) and major health insurance companies including UnitedHealth, Elevance (Anthem), Humana, Aetna, Cigna, and various Blue Cross Blue Shield entities. The allegation is that these companies are participating in a coordinated price-fixing conspiracy to increase profit margins by setting increasingly low reimbursement rates for out-of-network services.
What does APTA and APTA Private Practice joining the MultiPlan Antitrust Litigation mean for members?
APTA is participating as an organizational plaintiff, seeking an injunction to stop the alleged anticompetitive scheme. This does not make individual APTA members parties to the lawsuit.
Individual practices may be entitled to significant financial damages against MultiPlan and other insurance companies.
Affected members will have the opportunity for the same law firms representing APTA to bring individual claims for financial damages due to repricing.
For individual APTA members who engage one of the law firms representing APTA, representation would be on a contingency basis at a reduced rate.
Claims against MultiPlan over out-of-network reimbursements may go back 10 years. Many practices that were out-of-network with a major insurer during that period may have compensable claims.
An informational webinar will be held with lawyers appointed in the litigation for individual direct action plaintiffs. Members can sign up to be notified when the date, time, and registration are available.
Advancing payment is APTA’s top priority.
We remain committed to working alongside members to secure fair payment for physical therapist services. Our goal is to advance a health care system grounded in value, transparency, and patient-centered care. This legal action marks a critical step toward fighting back against systemic barriers to fair and lawful payment.
For more information on commercial insurance out-of-network repricing, download APTA’s Practice Advisory. To learn more about the case and opportunities to pursue damages, sign up to be notified about the informational webinar with the appointed lawyers.
Together we are building a community that advances the profession of physical therapy to improve the health of society.
