🏥 Health 1d ago · Tara Bannow

STAT+: Providers notch No Surprises Act legal win that could boost their pay

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STAT+: Providers notch No Surprises Act legal win that could boost their pay
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A highly anticipated No Surprises Act court decision delivered yet another win for providers, finding that the government erred in its instructions for calculating the amounts health insurers typically pay for services.



Tuesday’s decision from the U.S. Court of Appeals for the Fifth Circuit stems from a 2022 Texas Medical Association lawsuit challenging the government’s rule for calculating the qualifying payment amount, a number that’s used in arbitration to represent he

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