A proposed $2.8 billion settlement has been reached between the Blue Cross Blue Shield Association (“BCBSA”) and healthcare providers. It resolves claims that BCBSA violated antitrust laws by dividing service areas and fixing prices. The settlement … [Read more...] about BCBS $2.8B Anti-Trust Settlement — How to File
News
US SENATORS SUMMON MULTIPLAN’S CEO TO DISCUSS ALLEGED NEFARIOUS BUSINESS PRACTICES
On May 22, U.S. Senators Ron Wyden (D-OR), Chair of the Finance Committee and Bernie Sanders (I-VT) Chair of the Health, Education, Labor and Pensions (HELP) Committee issued a letter to Travis Dalton, CEO of MultiPlan. Mr. Dalton is being called … [Read more...] about US SENATORS SUMMON MULTIPLAN’S CEO TO DISCUSS ALLEGED NEFARIOUS BUSINESS PRACTICES
NY Times Investigation Exposes Multiplan & Insurer’s Hidden Financial Incentive Practices
Last Sunday the New York Times published two articles written by journalist Chris Hamby, regarding Multiplan and the major health insurance companies. His investigation exposed the "Percentage of Savings Model", used by Multiplan and insurers that … [Read more...] about NY Times Investigation Exposes Multiplan & Insurer’s Hidden Financial Incentive Practices
Federal Government Appeals No Surprises Act (NSA) TMA II Decision Concerning the QPA
In a recent development surrounding the implementation of the No Surprises Act (NSA), the United States Department of Justice (DOJ) has filed an appellate brief to appeal the Texas Medical Association (TMA) II decision. This decision vacated certain … [Read more...] about Federal Government Appeals No Surprises Act (NSA) TMA II Decision Concerning the QPA
NJ DOBI Issued Bulletin No. 23-05, June 28, 2023, Non-Discriminatory Coverage for Transgender Individuals
In an effort to promote equal access to healthcare and coverage, the New Jersey Department of Banking and Insurance has published Bulletin No. 23-05 following Governor Murphy’s issuance of Executive Order 326, “Protecting Gender-Affirming Health Care … [Read more...] about NJ DOBI Issued Bulletin No. 23-05, June 28, 2023, Non-Discriminatory Coverage for Transgender Individuals
No Surprises Act Regulations Part I Released
On July 1, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury issued part I of the regulations in connection with federal No Surprises Act that protects patients from surprise medical … [Read more...] about No Surprises Act Regulations Part I Released
Will the No Surprises Act be Implemented as Lawmakers Intended?
Xavier Becerra, Secretary of the U.S. Department of Health and Human Services (HHS) recently informed the House Appropriations Committee that he would be seeking feedback from stakeholders before enacting a policy to end surprise billing although he … [Read more...] about Will the No Surprises Act be Implemented as Lawmakers Intended?
NY Lawmakers Reignite Single-Payor Bill
Reportedly, the New York Health Act which aims to replace employer-based private health insurance and force all New Yorkers onto a government-run healthcare plan is expected to be introduced by Senator Gustavo Rivera, chairman of the state’s Senate … [Read more...] about NY Lawmakers Reignite Single-Payor Bill
Federal Lawmakers Reach a Provider-Friendly Surprise Bill Proposal
The deep divide between insurers and providers over the best approach to end the practice of surprise billing patients appears to be narrowing, according to coverage by Politico published on Friday as new legislation is expected to be part of the … [Read more...] about Federal Lawmakers Reach a Provider-Friendly Surprise Bill Proposal
Federal Surprise Bill Legislation Gains Momentum
President Trump called upon Democrats and Republicans to pass legislation to end surprise medical billing in remarks delivered from the White House earlier this month. Senators from both sides of the aisle have already been working on legislation … [Read more...] about Federal Surprise Bill Legislation Gains Momentum
NJ Senate Passes Bill To Provide Breast Cancer Patients With Information Related To Breast Reconstruction
Yesterday, NJ legislators passed Bill S-3202, sponsored by Senator Lagana and Senator Gopal, in a unanimous vote. The bill requires hospitals to provide breast cancer patients with information concerning reconstructive surgery. It also prohibits … [Read more...] about NJ Senate Passes Bill To Provide Breast Cancer Patients With Information Related To Breast Reconstruction
Some of the Nation’s Largest Health Insurers Urge Lawmakers To Pass Federal Surprise Bill Legislation
Yesterday, a letter signed by America's Health Insurance Plans (AHIP) and others asks Congress to take action this year to "pass legislation that will protect patients from surprise medical bills and reign in out-of-control health care cost." The … [Read more...] about Some of the Nation’s Largest Health Insurers Urge Lawmakers To Pass Federal Surprise Bill Legislation
