VC and PE Firms to Face More Scrutiny, CMS Official Warns: Report

Chris Dunn, who is with Epstein Becker Green's Healthcare Construction Group in Nashville, TN, counsels healthcare owners and developers on all aspects of construction projects.

The lawsuit challenges certain portions of implementation of the July 2021 interim final rule. Specifically, the TMA and Tyler Regional Hospital allege that the rules "artificially deflate" the Qualifying Payment Amount, an insurer-calculated amount used in arbitration when deciding the appropriate out-of-network rate presented by physicians and insurers.

The hospitals are Weiss Memorial Hospital in Chicago and West Suburban Medical Center in Oak Park, Ill.

Oncology physician group practices, commercial payers, Medicare Advantage plans and state Medicaid programs located anywhere in the U.S. can apply through Sept. 30.