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Class Action,
Antitrust & Trade Reg.

Apr. 7, 2025

Health insurance giants, Zelis accused of price-fixing 'cartel'

A new antitrust suit claims Aetna, Cigna and others colluded with Zelis Healthcare to illegally suppress payments to out-of-network providers, sparking a third-class action in a week.

Four of the nation's largest commercial health insurance providers, including Aetna Inc. and The Cigna Group, and a leading medical bill repricing company were accused of forming a "cartel" that suppressed the actual price insurance companies paid to "out of network" providers who treated the defendants' policy holders.

The putative antitrust class action, filed Thursday in federal court in San Francisco, centers on the repricing services the insurance...

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