A new Harvey L. Neiman Health Policy Institute study found that, by 2021, only 1.1% of radiologists’ commercial claims were out of network, down from 12.6% in 2007.
Category: Billing & Reimbursement
Insurer Calculation of Qualified Payment Amount for Out of Network Care May Violate No Surprises Act
In possible violation of the No Surprises Act, insurance company QPA calculations likely include rates from primary care provider contracts.Read More
Three medical associations are encouraged by the federal government’s request for a “hold” on its appeal of a Texas federal court ruling.Read More
With the White House putting cancer prevention and early treatment squarely in the sights of its renewed Cancer Moonshot initiative, recent University of Michigan research offers insights that policymakers could use to ensure more cancers are diagnosed earlier and reduce inequalities.Read More
In a motion for summary judgement filed on Wednesday, February 9, the American College of Radiology and other associations argued that the interim final rule created by the U.S. Department of Health and Human Services turned the balanced and fair reforms of Congress’ No Surprises Act upside down and transformed the act intended to protect patients and their physicians into a giveaway for private insurers.Read More