In a strongly worded, well-reasoned opinion supported by ample precedent, Judge Jeremy D. Kernodle of the United States District Court of the Eastern District of Texas struck down the sections of the No Surprises Act (“the Act”) rules governing how arbitrators are to determine the amount paid to out-of-network providers. The rules had been challenged […]
The Paul Wellstone and Pete Domenici Mental Health Parity and Addition Equity Act of 2008 (“MHPAEA”) prohibits health insurers from imposing more restrictive treatment limitations on mental health and substance abuse coverage than they impose on coverage for medical/surgical services. In other words, health insurers cannot impose limits on the frequency of treatment or the
Anthem, Inc. reported strong profits of $1.1 billion for the fourth quarter of 2021, which more than doubled its $551 million in profits for the fourth quarter of 2020 and beating analysts’ expectations. Anthem’s profits for the full year of 2021 were $6.1 billion, up from $4.6 billion in 2020. Anthem’s operating revenues were also
On December 9, 2021, the Senate passed a bill delaying reductions in Medicare payments to providers, which had been scheduled to take effect in January. The House had previously passed a bill delaying the reductions, and President Biden is expected to sign it. In all, the legislation delays nearly 10% in reductions in Medicare payments.
CONGRESS PASSES LEGISLATION DELAYING CUTS IN MEDICARE PAYMENTS TO PROVIDERS Read More »