Health care providers are once again challenging the Biden administration on the surprise billing law and the method for deciding who picks up the tab in disputes over out-of-network care.
Providers are once again challenging the Biden administration on the surprise billing law and the method for deciding who picks up the tab in disputes over out-of-network care.Almost 10 months after the law protecting patients from unexpected medical bills took effect, key details have yet to be settled, with billions of dollars on the line for providers, insurers and employers.over a final rule for implementing the law, saying it skews results in favor of insurers.
The same group successfully challenged an earlier version in court, saying it unfairly favored insurers by telling arbiters to select the rate closest to the health plans' median in-network rates for the same or similar services in the geographic region.arbitrators have to weigh, saying they no longer have to start with that median in-network rate.The court has to decide if the latest rule deprives physicians and providers of the arbitration process the law intended.
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