The American Hospital Association, American Medical Association and other provider organizations have sued the Department of Health and Human Services and other federal agencies over implementation of the No Surprise Act, Healthcare Finance reports.
The groups are not against the legislation, they said in the lawsuit filed in federal court Thursday, but take issue with how HHS implemented the bill in its September rule set to take effect Jan. 1.
The September rule provides an internal dispute resolution process (IDR) to resolve payment rates between provider and payer. The arbitrator must select the offer closest to the qualifying payment amount. Under the rule, this amount is set by the insurer, giving the payer an unfair advantage, according to the lawsuit. Read more.
