Biden Administration Pauses Surprise Billing Arbitration After Latest Legal Setback
The Biden administration suspended arbitrations related to the No Surprises Act (NSA), the law that banned medical balance billing in most cases, following Feb. 6 ruling from a Texas federal district court judge that struck down Biden administration regulations. The system was in stormy waters before the ruling, with federal officials already navigating a higher volume of arbitrations than expected and a national, coordinated wave of lawsuits brought by providers. Experts tell AIS Health, a division of MMIT, that the administration will need to be careful if it hopes to avoid providers’ legal ire while navigating a third attempt to write regulations governing the arbitration process, known as Independent Dispute Resolution (IDR), and a possible appeal of the new decision.
Meet Our Reporters
-
Lauren Flynn Kelly Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage
View Lauren Flynn Kelly's Profile -
Angela Maas Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access
View Angela Maas's Profile -
Leslie Small Managing Editor, Health Plan Weekly and Radar on Drug Benefits
View Leslie Small's Profile -
Peter Johnson Reporter, Health Plan Weekly and Radar on Drug Benefits
View Peter Johnson's Profile -
Tim Casey Reporter, Health Plan Weekly and Radar on Drug Benefits
View Tim Casey's Profile -
Carina Belles Reporter, Radar on Medicare Advantage and Spotlight on Market Access
View Carina Belles's Profile -
Jinghong Chen Reporter, Health Plan Weekly and Radar on Drug Benefits
View Jinghong Chen's Profile
