Despite Biden Admin’s Concessions, Providers Regroup to Challenge Surprise Billing Regs

  • Sep 30, 2022

    The Texas Medical Association (TMA) doubled down on its lawsuit to overturn federal regulations implementing the No Surprises Act (NSA), the 2020 law that banned balance medical billing, even though national provider groups like the American Medical Association (AMA) and American Hospital Association (AHA) abandoned their suit against the Biden administration after federal agencies released the latest NSA regulations in August.  

    Meanwhile, insurers and providers have already filed tens of thousands of balance billing cases with arbitrators — which means that providers have ample financial incentive to pressure the administration through legal action, experts tell AIS Health, a division of MMIT. 

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  • Peter Johnson

    Peter has worked as a journalist since 2011 and has covered health care since 2020. At AIS Health, Peter covers trends in finance, business and policy that affect the health insurance and pharma sectors. For Health Plan Weekly, he covers all aspects of the U.S. health insurance sector, including employer-sponsored insurance, Medicaid managed care, Medicare Advantage and the Affordable Care Act individual marketplaces. In Radar on Drug Benefits, Peter covers the operations of (and conflicts between) pharmacy benefit managers and pharmaceutical manufacturers, with a particular focus on pricing dynamics and market access. Before joining AIS Health, Peter covered transportation, public safety and local government for various outlets in Seattle, his hometown and current place of residence. He graduated with a B.A. from Colby College.

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