이 에피소드에 관해
What if your behavioral health program had been underpaid for the better part of a decade — and you never knew why? In part one of this two-part series, Mark Scrivner, Jeff Skillen, and Lee Pepper sit down with trial attorney Devin van der Hahn, founder of Vanderhahn LLP, to unpack the MultiPlan (now Clarivate) out-of-network reimbursement litigation — one of the largest antitrust cases in the country, and one that names behavioral health and rehab providers directly. Devin walks through how MultiPlan's subsidiary, Data iSight, built a pricing algorithm using competitors' own data, why that violates the Sherman Antitrust Act, and why substance use disorder and behavioral health providers were disproportionately targeted. Listeners will walk away understanding how this scheme quietly suppressed reimbursement for nearly a decade, what data to start pulling now, and why this matters for the financial health of their organization — set up for next week's part two on what to actually do about it.
Key Moments 00:00 – Welcome to the show and introduction of Devin van der Hahn and the MultiPlan/Clarivate litigation 03:18 – Devin's path from federal courts and Quinn Emanuel to representing providers directly 06:44 – Breaking down MultiPlan and its subsidiary, Data iSight, in plain terms 09:18 – Why the pricing algorithm scheme violates the Sherman Antitrust Act 16:16 – The unexplained 50–75% revenue decline Devin witnessed firsthand in 2014–2015 23:00 – Why behavioral health and SUD providers were specifically targeted 35:50 – Sizing the damages: how the potential claims add up 41:36 – Three takeaways: what treatment center owners should do first
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Show Notes + Resources: https://snapshotinteractive.com/mastermined Background Reading: "Health Insurance and Medical Bills" — The New York Times: https://www.nytimes.com/2024/04/07/us/health-insurance-medical-bills-takeaways.html Connect with Devin van der Hahn: https://www.linkedin.com/in/vanderhahn/ | https://www.vanderhahn.com/ Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/health Connect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/ | https://www.skillsetenterprises.com Connect with Lee Pepper: https://www.linkedin.com/in/leepepper | https://www.neveroutmatched.com
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