Fifth Cir. Rejects Surprise Billing Arbitration Pay Formula (1)

Aug. 2, 2024, 10:43 PM UTCUpdated: Aug. 3, 2024, 12:25 AM UTC

The Biden administration failed to persuade the Fifth Circuit to reinstate rules making median network rates a primary consideration in deciding payment disputes under a law meant to prevent “surprise” medical bills.

In a Friday ruling, the appeals court upheld a lower court decision in favor of health-care providers that had vacated the regulations implementing the No Surprises Act from the Departments of Health and Human Services, Labor, Treasury, and Office of Personnel Management.

Judge Jeremy Kernodle of the US District Court for the Eastern District of Texas had ruled in 2022 that the agencies didn’t abide by the text ...

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