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Swing and a Miss: CMS Strikes Out on Its Second Attempt to Set Arbitration Procedures under No Surprises Act

The saga between health care providers and the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury (collectively, “Departments”) continues apace, as a federal district court...more

No Surprises Act Déjà Vu: New Texas Medical Association Lawsuit

The saga between health care providers and the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury (“Departments”) continues as the parties are poised, yet again, to fight in...more

Colorado Supreme Court Rejects Hospital’s Claim for Balance Billing Out-of-Network Patient for Elective Services

The Colorado Supreme Court’s decision in French v. Centura Health Corp. is a reminder of the importance of making sure that patient financial responsibility forms are clear and understandable to an average layperson...more

Ninth Circuit Deals Significant Setback to Medicare Advantage Out-of-Network Providers

In a blow to out-of-network providers pursuing underpayments from Medicare Advantage plans, the U.S Court of Appeals for the Ninth Circuit Court of Appeals recently held in Global Rescue Jets, LLC v. Kaiser Foundation Health...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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