Advisory Board August 8, 2024
A federal appeals court has upheld a February 2023 decision from a lower court, which found that the No Surprises Act favored payers over providers, leading to parts of the final rule being vacated and sent back to the federal government.
Cheat sheet: Examine the No Surprises Act
Background
In December 2020, Congress passed the No Surprises Act to mitigate patients’ exposure to surprise medical bills, requiring insurers and providers to resolve payment disputes for out-of-network care independently or use a new arbitration process.
In 2021, CMS released two interim final rules to implement the law. One restricted out-of-pocket costs for consumers as a result of surprise and balance billing. The other established a process to settle disputes between...
Today's Sponsors
Today's Sponsor