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California Health Care Providers to Face Greater Headwinds as State Implements Health Care Cost Targets

Pursuant to California's Health Care Quality and Affordability Act (the "HCQA"), the newly created Office of Health Care Affordability ("OHCA") recently proposed statewide health care cost targets and standards and goals for...more

Final Rule Issued to Implement the No Surprises Act's Independent Dispute Resolution Process

The Centers for Medicare & Medicaid Services and other agencies together issued final regulations concerning the independent dispute resolution process for settling provider-payor disputes over reimbursement for...more

No Surprises Act Update: Rule Governing Dispute Resolution Process Set Aside

In a win for health care providers across the nation, the U.S. District Court for the Eastern District of Texas has vacated a key regulation regarding the process for resolving payment disputes between insurers and...more

New Law Eliminates 75-Year-Old Antitrust Exemption for "Business of Health Insurance"

The Development: Congress unanimously passed and before leaving office, President Trump signed into law, the Competitive Health Insurance Reform Act ("CHIRA"). CHIRA limits application of the McCarran-Ferguson Act, an...more

Health Insurer Secures Judgment Against Health Care Provider for Alleged False Claims

Health care providers have seen an increase in litigation and disputes with commercial payors. On January 13, 2021, a federal district court in Dallas, Texas, entered judgment against two health care providers and their...more

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