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May 13, 2022

HHS Asks Court to Halt its Request for Appeal

After the Texas Medical Association sued over the arbitration process that HHS created under the No Surprises Act to settle disputes over bills for out-of-network services and won in Federal Court, HHS appealed.  TMA argued that it was an unlawful addition to the law for the independent dispute resolution (IDR) process to decide cases based almost exclusively on the Qualified Payment Amount (QPA), which is essentially the standard market rates hospitals are paid by payors.  However, HHS asked the Court to halt its request for appeal until they issue the Final Rule this summer.  All parties seem to support this decision, hoping to come to an acceptable resolution.

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