Apparently in light of recent litigation against Medicare Advantage (MA) plans, on February 6, 2024, CMS published responses to frequently asked questions (FAQs) regarding the use of algorithms and artificial intelligence in...more
2/22/2024
/ Algorithms ,
Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Discrimination ,
Disparate Impact ,
Eligibility Determination ,
Health Insurance ,
Healthcare ,
Medicare ,
Medicare Advantage ,
Popular
The No Surprises Act (NSA), which went into effect January 1, 2022, was designed to protect patients from surprise medical bills when they are treated in out-of-network emergency departments or by out-of-network providers at...more
2/2/2023
/ Arbitration ,
Arbitrators ,
Continuing Legal Education ,
Dispute Resolution ,
Enforcement Actions ,
Explanation of Benefits (EOBs) ,
Health Care Providers ,
Health Insurance ,
Insurance Litigation ,
No Surprises Act (NSA) ,
Out of Network Provider ,
Surprise Medical Bills ,
Webinars
The Big Picture -
The Biden Administration released an interim final rule with comment period (IFC) on September 30 that answers an important remaining question under the No Surprises Act (NSA): How will the amount that...more
10/18/2021
/ Biden Administration ,
Comment Period ,
Consolidated Appropriations Act (CAA) ,
Dispute Resolution ,
Good Faith ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
Interim Final Rules (IFR) ,
Out of Network Provider ,
Out-of-Pocket Expenses ,
Surprise Medical Bills