Radiology Business October 9, 2024
Physician and hospital lobbying groups are crying foul after a Texas court recently ruled that decisions under the No Surprises Act are “unenforceable.”
When radiologist and health insurers disagree on payment amounts for out-of-network services, the landmark legislation allows them to settle their differences via arbitration. However, a district court has ruled that—even if a provider prevails in this “independent-dispute resolution” process—there is no private cause of action to enforce the award, the Federation of American Hospitals reported Monday.
FAH, the American Medical Association and others are now urging the U.S. Court of Appeals for the 5th Circuit to reverse the decision. They contend that the ruling was “inconsistent with longstanding interpretations of the law” and “threatens serious harm...
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