Fifth Circuit Upholds Major Changes in No Surprises Act QPA Calculations
The Fifth Circuit upheld a ruling affecting QPA calculations under the No Surprises Act, reshaping how insurers calculate payment amounts and ensuring patient protections.
U.S. Rule Enhances Out-of-Network Billing Dispute Resolution
Explore the recent U.S. rule updating out-of-network billing resolutions, enhancing dispute processes but leaving gaps in insurance compliance oversight.
Rising Hospital-Insurer Contract Disputes Challenge U.S. Healthcare Access in 2025
Contract disputes between hospital systems and insurers like Anthem disrupt coverage for tens of thousands of patients in 2025, reflecting rising tensions in payer-provider negotiations amid consolidation and federal budget cuts. Insights into impacts on healthcare access and regulatory responses.