Healthcare DIVE January 19, 2022
Dive Brief:
- As litigation surrounding the ban on surprise billing heats up, the insurance lobby has filed a legal brief in support of the government’s implementation of the bill Congress passed in 2020 to outlaw the controversial practice, which leaves patients stuck in the middle of payment disputes between payers and providers.
- Siding with the HHS, AHIP argued the administration got it right when constructing the methodology behind the ban and, more specifically, how disputes around payments will be resolved through the arbitration process, according to the brief AHIP filed Tuesday in federal court in Texas.
- Relying on the qualifying payment amount, or median in-network rate, helps center the payment dispute, creating a starting point for when payers and...
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