Anthem’s Hospital Penalty Policy Is Coming to California. Indiana Already Banned It.
Anthem Blue Cross of California is bringing its hospital penalty policy to California on June 1, 2026. The policy has been in…
Federal No Surprises Act Arbitration
Indiana Just Blocked Elevance’s Hospital Penalty. 10 States Still Haven’t
Indiana just became the first state in the country to ban insurers from penalizing hospitals for using out-of-network providers. The penalty is…
Insurance CEOs Testified They Can’t Control Healthcare Costs. Federal Arbitration Data Says Otherwise.
On January 22, five insurance CEOs sat before two House committees and delivered the same message that rising healthcare costs aren’t their…
BCBS Lawsuit Exposes the Risks of Using Billing Companies for NSA Arbitration
Blue Cross Blue Shield of Texas filed a lawsuit in December 2025 against Zotec Partners, accusing the billing company of abusing the…
Anthem’s Hospital Penalty Policy Draws Congressional Scrutiny. What It Means for Out-of-Network Providers
Anthem’s strategy for dealing with unfavorable arbitration outcomes just attracted federal attention. A bipartisan group of fourteen physician lawmakers sent a letter…
What Out-of-Network Surgeons Need to Know About Anthem’s New Hospital Penalty Policy
Anthem is now penalizing hospitals for using out-of-network providers. If you practice in Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New…
Which Surgical Specialties Lose the Most Revenue Under the No Surprises Act
The No Surprises Act eliminated balance billing to protect patients, but it created a financial crisis for out-of-network providers. Insurance companies now…
Why Revenue Cycle Management Systems Cannot Identify Legally Recoverable Revenue
Understand the No Surprises Act and how it affects out-of-network providers. Learn to navigate claim underpayments effectively.
The No Surprises Act Explained: What Medical Providers Need to Know in 2025
Understand the No Surprises Act and how it affects out-of-network providers. Learn to navigate claim underpayments effectively.
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…
