Two Federal Courts Make Rulings on NSA Challenges in Late August
Claritev summarizes changes to NSA regulations and guidance as a result of rulings in TMA3 and AAMS.
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TMA Wins Another NSA Lawsuit
A federal court in Texas recently ruled in favor of the Texas Medical Association in its fourth lawsuit challenging the No Surprises Act. Claritev explains the ruling.
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Use of the IDR Process to Settle NSA Disputes Is Greater Than Anticipated
A little more than a year after launching the No Surprises Act’s Independent Dispute Resolution Portal, the Departments of Health and Human Services (HHS), Labor, and Treasury gave an update on the federal IDR process for the period from April 15, 2022 through March 31, 2023. Claritev highlights the findings.
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MedCity News: The Promise of Healthcare Pricing Transparency
Healthcare is a major expenditure for employers and employees, yet Americans purchase it without insight into price or quality. Medical costs contribute to 66.5% of household bankruptcies—lack of transparency is a contributing factor. Employers, payors and providers should consider alternative models of care such as value-based plans with built-in access and transparency.
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No Surprises Act Update: IDR Entities May Resume Issuing All Payment Determinations
As of March 17, 2023, IDR entities may resume issuing all payment determinations for NSA disputes.
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Determining Whether a Dispute Is Eligible for IDR Is Complicating the Process
More than a year after the No Surprises Act (NSA) took effect, parts of the law are still creating challenges, including the independent dispute resolution (IDR) process.
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Texas Medical Association Wins Its Second Suit Challenging the NSA’s IDR Process
On February 6, 2023, a federal judge in Texas ruled in favor of the Texas Medical Association (TMA) in their second suit challenging aspects of regulations related to the No Surprises Act’s Independent Dispute Resolution (IDR) process.
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The Texas Medical Association Challenges the IDR Fee and Batching Rule in Its Fourth NSA Lawsuit
MultiPlan summarizes the Texas Medical Association’s fourth NSA lawsuit, challenging the IDR fee and batching rule.
