Tag: Insurers

No Surprise Act - Court Judgement

No Surprises Act Final Rule Favors Insurers, Must Be Revamped

In a win for physicians, a federal court for the second time in less than two years has rejected the government’s attempt to implement an independent-dispute resolution process that Congress created with the 2020 “No Surprises Act.” The Texas Medical Association (TMA) and others challenged the final rule, showing how language in it still favored […]
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No-Surprises-Act-Law-Reshaped-Medical-Billing

How The No Surprises Act Law Reshaped Medical Billing

One year ago, the United States marked a turning point for health care cost transparency with a new law aimed at helping Americans avoid unnecessary, unexpected medical debt. As of Jan. 1, 2022, health care providers and insurers are no longer allowed to sideswipe privately insured people with bills for out-of-network services. Experts say the […]
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Providers, Insurers Parse What They Could Support – And What They Won’t – In Surprise Billing Solution

While both providers and insurers have found it difficult to agree on a solution to surprise billing, experts on both sides expressed support Tuesday for banning the practice – thereby forcing insurers and providers to work out payment disputes among themselves—when patients have gone to in-network hospitals. The approach, which has been tried in Oregon, […]
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