There has been a flurry of recent activity in a case originally filed by six air ambulance companies claiming $20 million in unpaid emergency services invoices. ...more
7/10/2025
/ Aetna ,
Airline Deregulation Act ,
Ambulance Providers ,
Aviation Industry ,
Contract Disputes ,
CUTPA ,
Dispute Resolution ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Insurance Claims ,
Insurance Litigation ,
Medical Expenses ,
No Surprises Act (NSA) ,
Out of Network Provider ,
Surprise Medical Bills ,
Unfair or Deceptive Trade Practices
The U.S. Supreme Court, in a 6-3 decision, ruled that the Medicaid Act’s any-qualified-provider provision does not confer individual rights enforceable under 42 U.S.C. §1983. This decision reverses the Fourth Circuit’s...more
6/27/2025
/ 42 U.S.C. §1983 ,
Appeals ,
Beneficiaries ,
Constitutional Challenges ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Judicial Authority ,
Medicaid ,
Medina v Planned Parenthood South Atlantic ,
Patient Access ,
Planned Parenthood ,
Reproductive Healthcare Issues ,
SCOTUS ,
State and Local Government ,
Statutory Interpretation
On June 12, the U.S. Court of Appeals for the Fifth Circuit issued a significant opinion in the case involving Guardian Flight, LLC and Med-Trans Corporation, two air ambulance providers, against the defendant insurance...more
6/18/2025
/ Ambulance Providers ,
Appeals ,
Arbitration Awards ,
Dispute Resolution ,
Emergency Response ,
Federal Arbitration Act ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Insurance Claims ,
Insurance Litigation ,
No Surprises Act (NSA) ,
Post-Judgment Enforcement Actions ,
Private Right of Action ,
Surprise Medical Bills
On September 27, California Governor Gavin Newsom signed into law two bills that will impact health care service plans and insurers in the state....more
The California Court of Appeal, in a major win for managed care payors and claims administrators, affirmed a lower court decision granting summary judgment in favor of United Healthcare (United), finding that United did not...more
On August 19, the U.S. Departments of Health and Human Services, Labor, and the Treasury (the Departments) issued final rules implementing the No Surprises Act, known as the “Requirements Related to Surprise Billing: Final...more
As states begin to pivot away from the emergency health measures implemented at the beginning of the COVID-19 pandemic, state governments are now grappling with addressing traditional health care concerns, while...more
On February 23, a Texas federal court vacated several key portions of an interim final rule (Rule) governing the No Surprises Act's (Act) independent dispute resolution (IDR) process. The court's decision has been lauded by...more
On December 9, the American Medical Association (AMA) and the American Hospital Association (AHA) (the Associations) filed a lawsuit in the U.S. District Court for the District of Columbia challenging the proposed regulations...more
On October 28, the Texas Medical Association (TMA), a trade association that represents more than 55,000 physicians and medical students, filed a lawsuit in the Eastern District of Texas challenging key portions of CMS’s...more
On September 30, U.S. Departments of Health and Human Services (HHS), Labor, and Treasury, as well as the Office of Personnel Management, issued another interim final rule — “Requirements Related to Surprise Billing: Part II”...more
On July 1, U.S. Departments of Health and Human Services (HHS), Labor, and Treasury, as well as the Office of Personnel Management, issued an interim final rule implementing the No Surprises Act (Act) and requesting...more
On December 21, Congress passed the $900 billion spending and COVID-19 relief package — the Consolidated Appropriations Act, 2021 (CAA) — which President Trump signed on December 27. Although the CAA’s monetary relief...more