As public and political pressure has risen against prior authorization, insurers are scaling back use of the policy and are openly reforming the process.
Back in February, the American Medical Association (AMA) led 118 other medical organizations to write a letter to the Centers for Medicare and Medicaid Services, specifically...
On Monday, Judge Jeremy Kernodle of the U.S. District Court for the Eastern District of Texas handed down a decision that would remove major portions of the final rule for the No Surprises Act.
In 2021, the Texas Medical Association (TMA) filed suit against an interim final rule that would instruct independent arbiters to rely on the...
The Texas Medical Association (TMA) will now lead the charge against the federal government's rules for implementing the No Surprises Act, which aims to curb surprise bills levied on patients who unknowingly or in times of emergency receive care from providers who are out-of-network for their insurance coverage.
Last week, the...
The No Surprises Act, a law that aims to protect Americans covered by private health plans from receiving surprise medical bills relating to emergency services or non-emergency services from out-of-network providers at in-network facilities, has been met with trouble since its implementation at the beginning of the year.
In February,...National News
A federal judge for the eastern district of Texas struck down a controversial aspect of the No Surprises Act last week, leaving in place protections for patients but siding with providers that a qualifying payment amount is not the appropriate out-of-network rate.
The No Surprises act formally went into effect on January 1 of this...