Three years after the No Surprises Act (NSA) was enacted, industry stakeholders and government regulators alike are still navigating the intricate twists and turns of the wide-ranging legislation’s key provisions. In a new...more
The No Surprises Act (NSA), which went into effect January 1, 2022, was designed to protect patients from surprise medical bills when they are treated in out-of-network emergency departments or by out-of-network providers at...more
2/2/2023
/ Arbitration ,
Arbitrators ,
Continuing Legal Education ,
Dispute Resolution ,
Enforcement Actions ,
Explanation of Benefits (EOBs) ,
Health Care Providers ,
Health Insurance ,
Insurance Litigation ,
No Surprises Act (NSA) ,
Out of Network Provider ,
Surprise Medical Bills ,
Webinars
On November 4 and 7, 2022, the California Department of Managed Health Care (DMHC) issued two All Plan Letters (APL 22-026 and APL 22-027) concerning compliance with the state’s network adequacy and timely access...more
The Big Picture -
The Biden Administration released an interim final rule with comment period (IFC) on September 30 that answers an important remaining question under the No Surprises Act (NSA): How will the amount that...more
10/18/2021
/ Biden Administration ,
Comment Period ,
Consolidated Appropriations Act (CAA) ,
Dispute Resolution ,
Good Faith ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
Interim Final Rules (IFR) ,
Out of Network Provider ,
Out-of-Pocket Expenses ,
Surprise Medical Bills