Congress enacted the No Surprises Act (NSA) to protect patients from unexpected medical bills. A central pillar of the NSA is its independent dispute resolution (IDR) process, under which payers and providers can submit...more
On May 27, Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. (BCBSGA) filed a lawsuit in the Northern District of Georgia US District Court, alleging that a group of health care providers, along with their third-party...more
Within the last month, the US District Court for the Northern District of California rejected efforts by United Behavioral Health (UBH) to dismiss and decertify two class actions seeking relief related to UBH’s processing of...more
Anthem Inc. has agreed to settle a class action lawsuit brought by participants in employee health plans administered by the insurer....more
Ambulatory surgery centers (ASCs) have become a large and growing part of the health care industry. ASCs offer same-day surgical care, including diagnostic and preventive procedures, and their popularity has recently grown....more
4/21/2025
/ Acquisitions ,
Ambulatory Surgery Centers ,
Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Contract Disputes ,
Healthcare Facilities ,
Healthcare Fraud ,
Insurance Litigation ,
Regulatory Reform ,
Risk Management
The US District Court for the Eastern District of New York in Manalapan Surgery Ctr., et al. v. 1199 SEIU National Benefit Fund, No. 23-CV-03525 (EDNY March 12, 2025), recently granted a motion to dismiss a complaint filed by...more
3/31/2025
/ Ambulatory Surgery Centers ,
Breach of Contract ,
Employee Retirement Income Security Act (ERISA) ,
Health Care Providers ,
Health Insurance ,
Hospitals ,
Insurance Claims ,
Insurance Litigation ,
New York ,
Out of Network Provider ,
Promissory Estoppel ,
SEIU ,
Unjust Enrichment