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Another Defunct Small Health Insurer Fails in Challenge to ACA Risk Adjustment Rules

The Fifth Circuit Court of Appeals recently rejected a slew of claims by Vista Health Plan, Inc. (“Vista”) seeking to invalidate the 2017 and 2018 regulations governing the risk adjustment program that applies to individual...more

Surprise! Federal Court Invalidates CMS Arbitration Procedure under No Surprises Act

The Eastern District of Texas recently issued its opinion in Texas Medical Association v. United States Department of Health and Human Services, et al., invalidating key portions of regulations implementing the out-of-network...more

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