"We are very pleased with the court’s decision, which affirms that IDR awards are enforceable and cannot be ignored by health plans and insurance companies," Adam T. Schramek of Norton Rose Fulbright, ...

Aetna has fired the health insurance industry's first salvo against private equity-backed providers it alleges manipulate the No Surprises Act to inflate reimbursements by staying out of health ...

Here’s what to know about the latest ruling and the No Surprises Act. The law, which went into effect in 2022, prevents providers from billing privately insured patients more than typical in ...

It’s unclear why an audit of Aetna Health of Texas was released first, and what audits of insurers may be next. The No Surprises Act was passed ... enforcement for the rules and greater ...

Aetna “did not follow some major requirements that are essential to ensuring that the IDR process runs smoothly.” The No Surprises Act, which went into effect January 2022, set up a process ...

In a recent audit, the Centers for Medicare & Medicaid Services (“CMS”) uncovered non-compliance by Aetna Health Inc ... services under the No Surprises Act (“NSA”).

Oct. 30, 2024)). In December 2020, Congress passed the No Surprises Act to protect patients from surprise medical bills. Before the Act, when an out-of-network healthcare provider furnished ...

Approximately 35% of closed cases found no violation. No Surprises Act audit finds inaccurate calculations by Aetna of Texas Most complaints against providers and air ambulance services were ...

The federal government has granted hospitals and insurance companies time to adapt to the new rules. For insured patients, the No Surprises Act does require providers to communicate with insurers ...