Healthcare DIVE August 7, 2023
The decision is expected to increase the number of provider claims, especially for smaller amounts.
Dive Brief:
- A Texas judge has vacated portions of the No Surprises Act dispute resolution process after the state’s medical group argued it was illegal and overly favorable to health insurers, leading the HHS to once again suspend arbitrations until further notice.
- Judge Jeremy Kernodle for the Eastern District of Texas on Thursday vacated regulators’ increase of the dispute resolution administrative fee to $350, and the “batching rule,” which allowed arbitration processes only on claims with the same service code.
- The judgment removes barriers for providers to file dispute resolution claims, and will likely increase the volume of claims, especially from physician groups and...
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