Edward Kornreich

Proskauer Rose LLP

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No Surprises Act’s Regulation Establishing QPA as Presumptive Payment Amount Vacated by District Court

We previously noted that the No Surprises Act (NSA) regulation’s establishment of the presumption that the qualifying payment amount (QPA)—generally, the median payment by the plan to providers in the region—is the...more

3/2/2022 / Health Care Providers , Health Insurance , Healthcare Reform , Out of Network Provider , Surprise Medical Bills

The Devil may be in the Details of the Part II No Surprises Act IFR

This post reviews Part II of the federal No Surprises Act regulations. In previous publications, we have commented upon the No Surprises Act, and Part I of the regulations. The “Requirements Related to Surprise Billing;...more

11/9/2021 / Dispute Resolution , Health and Welfare Plans , Health Care Providers , Health Insurance , Healthcare Reform , Interim Final Rules (IFR) , Out of Network Provider , Out-of-Pocket Expenses , Patient Rights , Surprise Medical Bills

No Surprises Act Regulations – Insurer Requirements

This post provides an update to our previous publication summarizing the federal No Surprises Act and is part two of two in a series on new interim regulations implementing certain requirements of the No Surprises Act. In...more

7/14/2021 / Health Care Providers , Health Insurance , Healthcare Reform , Interim Final Rules (IFR) , Out of Network Provider , Out-of-Pocket Expenses , Surprise Medical Bills

No Surprises in Initial No Surprises Act Regulations

This post provides an update to our previous publication summarizing the federal No Surprises Act and is part one of two in a series on new interim regulations implementing certain requirements of the No Surprises Act....more

7/7/2021 / Health Care Providers , Health Insurance , Healthcare Reform , Out of Network Provider , Surprise Medical Bills

No Surprises: Congress Enacts Surprise Bill Law and Adds Mandatory Billing Transparency

The recently enacted Consolidated Appropriations Act, 2021 (the “Act”) not only funds the government and provides further relief in regard to the impact of the COVID-19 pandemic, but it also adopted a number of new...more

1/12/2021 / Arbitration , Department of Health and Human Services (HHS) , Employee Retirement Income Security Act (ERISA) , Health Care Providers , Healthcare Costs , Hospitals , Out of Network Provider , Out-of-Pocket Expenses , Price Transparency , Surprise Medical Bills

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