CRA experts provided statistical and antitrust expertise to a health insurer involved in a class action lawsuit in which plaintiffs alleged that the insurer underpaid claims for out-of-network services. CRA experts filed class certification, merits, and damages reports that demonstrated that allegations of class-wide underpayment were inconsistent with statistical analyses of millions of claims spanning numerous data systems, antitrust harm was economically implausible, and damages estimates were overstated by billions. The plaintiffs’ motion for class certification was ultimately denied by a federal court.
Assessing umbrella pricing incentives
When collusive agreements involve a subset of firms in an industry, they may create the incentive and ability for firms that are not participants in the cartel...