The Corporate Transparency Act’s Implementation Is Halted Yet Again
With the deadline for year-end filings under the Corporate Transparency Act (CTA) approaching, the Fifth Circuit Court of Appeals issued an Order…
Author: Svetlana Minevich
Alabama District Court Judge Preliminarily Approves Blue Cross Blue Shield $2.8 billion Antitrust Settlement
Judge R. David Proctor of the United States District Court for the Northern District of Alabama issued an Order granting preliminary approval…
Fifth Circuit Reversed lower court’s Ruling on Key Provisions of The Federal No Surprises Act, including the QPA Formula
The Federal No Surprises Act (NSA) protects patients from out-of-network medical expenses for certain emergency and non-emergency services and care received from…
Recent Developments in the United Behavioral Health Surprise Billing Lawsuit
In a recent development in the LD et al v. United Behavioral Health et al case, a California federal judge expressed strong interest in…
UnitedHealth Group Is Currently Facing Legal Challenges Related To Antitrust Allegations And Investigations
UnitedHealth Group is currently dealing with legal issues related to antitrust allegations and investigations. The United States Department of Justice (DOJ) has…
Cross-plan Offsetting Practices and the Eighth Circuit’s Ruling
Cross-plan offsetting is used by third-party administrators of multiple health plans to reduce or even withhold payment to a medical provider for…
ERISA Preempts Out-of-Network Provider’s State Law Claims, As Affirmed By The 9th Circuit
In Bristol SL Holdings, Inc. v. Cigna Health and Life Insurance Company, the Ninth Circuit Court of Appeals ruled that the Employee Retirement…
Fifth Circuit Affirms Vacatur of Federal No Surprises Act’s Arbitration Provision
On August 2, 2024, the Fifth Circuit Court in Texas Medical Association et al. v. U.S. Department of Health and Human Services et…
Commercial Insurance Healthcare Reimbursement For Out-Of-Network Medical Providers Operating Across Multiple States
The realm of commercial insurance healthcare reimbursement has undergone a remarkable transformation with the introduction of Surprise Billing legislation at both state…
Out-Of-Network Medical Providers Affected By The Cyberattack Have More Time To Initiate IDR Under The Federal NSA
Great news! The Biden administration has extended the deadline for healthcare providers impacted by the Change Healthcare cyberattack. This extension will give…
