Fee Caps

News & Analysis as of

Cost Caps on Medical Procedures Approved

Federal officials recently approved “reference pricing,” a new cost-control mechanism that allows insurers to put a dollar limit on the amount that health plans pay for some expensive medical procedures, such as knee and hip...more

Texas Supreme Court Clarifies HELOC Fee Cap Decision

On January 31, the Texas Supreme Court released a January 24 supplemental opinion clarifying a June 2013 opinion in which it invalidated state regulations that (i) defined “interest” with regard to home equity loans to...more

Is Medicare Zero for Three? Diagnostics Policy Proposals for CY2014

Introduction - Each July, the Medicare agency makes policy proposals for changes in reimbursement for services delivered by physicians, hospital outpatient centers, and independent laboratories. For CY2014, CMS...more

Texas Supreme Court Holding Requires Lender-Retained Fees To Be Factored Into Home Equity Loan Fee Cap

On June 21, the Texas Supreme Court invalidated state regulations that defined “interest” with regard to home equity loans to exclude lender-retained fees and allowed home equity loan closings through an agent....more

Setting Standards by Supporting State Statutes: NAPIA LEGISLATIVE BLOG

It is now legislative season throughout the country and this means that NAPIA is busy on many fronts in numerous states dealing with legislative and regulatory issues to protect the Public Insurance Adjusting profession....more

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