"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 ...

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”).

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 ...

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 in January 2022 to eliminate unexpected bills for ...

A recent Health Affairs Forefront analysis and review of 2023 data from the federal No Suprises Act (NSA ... And among major insurers (Aetna, Cigna, and UnitedHealthcare), approximately 85 ...

The lawsuit adds to a growing list of questions around the No Surprises Act's implementation ... Orthopaedic Spine Specialists of New Jersey sued Cigna on Oct. 10, alleging the insurer has ...

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 No Surprises Act is meant to protect consumers ... with physician directories maintained by UnitedHealth, Elevance, Cigna, Aetna and Humana to compare the consistency of street addresses ...