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No Surprises Act Independent Dispute Resolution Process Resumes

No Surprises Act Independent Dispute Resolution Process Resumes

by Glenn S. Demby | Mar 28, 2023 | News, Open Content

HHS orders arbitrators to go back to resolving payment disputes between providers and payors under the No Surprises Act.

No Surprises Act Controversy Takes Surprising Twist

No Surprises Act Controversy Takes Surprising Twist

by Glenn S. Demby | Mar 13, 2023 | Essential, Legislation-nir, National Lab Reporter

Resolution process put on hold after federal court again strikes down parts of the regulation as being unfairly weighted in favor of insurers.

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Federal Court Strikes Down No Surprises Act Dispute Resolution Rules

Federal Court Strikes Down No Surprises Act Dispute Resolution Rules

by Glenn S. Demby | Mar 9, 2023 | News, Open Content

The rules unfairly favor insurers in out-of-network payment disputes, court says.

Final Surprise Billing Regulations Cut Insurer Control—Sort Of

Final Surprise Billing Regulations Cut Insurer Control—Sort Of

by Glenn S. Demby | Sep 15, 2022 | Essential, Legislation-nir, National Lab Reporter

It remains far from clear whether the new surprise billing rule goes far enough to fix the problem of insurers having too much power in disputes.

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Test Ordering & Utilization: Labs Stand to Benefit from Industry Efforts to Minimize Prior Authorization Red Tape

by Glenn S. Demby | Mar 16, 2018 | Essential, Health care reform-nir, National Lab Reporter, Reimbursement-nir

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