Healthcare DIVE August 28, 2023
The ruling, which targets guidance related to the independent dispute resolution process, prompted the CMS to again pause all federal disputes.
Dive Brief:
- A Texas judge on Thursday ruled to vacate several regulations relating to the No Surprises Act that set up payment dispute resolutions between certain out-of-network providers, group health plans and payers.
- In a consolidated case ruling, Judge Jeremy Kernoodle for the Eastern District of Texas ruled that certain guidance regarding the No Surprises Act arbitration process are unlawful. The ruling vacates provisions that allowed “ghost rates” when calculating the qualified payment amount, in addition to regulations regarding disputes of medical air transport.
- The ruling prompted the CMS to announce it would again pause all independent...
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