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Temporary Suspension of Medicare Sequestration and Increased DRG Payments Under the CARES Act: But What About Medicare Advantage?

USA - April 8 2020 Section 3709 of the Coronavirus Aid, Relief, and Economic Security Act of 2020 (“CARES Act”) temporarily suspends Medicare sequestration for the…

Amy L. Mackin, Elizabeth A. Elias.

Responding to Non-Network Plans Using Reference-Based Pricing

USA - September 20 2016 An increasing number of employer-sponsored health plans are electing not to enter into contractual agreements with hospitals through an established…

Federal Surprise Billing Rules: The First Round Arrives

USA - July 26 2021 On July 1, 2021, the Departments of Health and Human Services (“HHS”), Labor and Treasury and the Office of Personnel Management (collectively, the…

Julie Mitchell, Laetitia Cheltenham, Lisa A. Lucido, Matthew D. Reed.

Holiday Surprise for Health Care Providers: Spending Package Includes Surprise Billing Fix

USA - December 28 2020 On December 22, 2020, Congress passed a government funding deal, which includes a long-awaited federal fix for “surprise billing.” Most of the new…

Abigail Kaericher, Amy L. Mackin, Lisa A. Lucido.