After years of debate surrounding “surprise billing,” Congress has finally taken action to ban this practice as part of its $900 billion stimulus bill with the enactment of the No Surprises Act, signed into law on December 28, 2020. Surprise billing involves two scenarios: (i) out-of-network emergency services; and (ii) out-of-network services performed at in-network
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Specialty pharmacy drugs are high-cost oral or injectable medications used to treat complex chronic conditions. They typically require high-touch patient care management and patient education to ensure patient compliance and to reduce the risk of severe adverse side effects. Further, specialty pharmacy drugs require specialized handling (e.g., temperature control) and distribution to ensure appropriate medication
The U.S. Supreme Court’s decision in California v. Texas poses a threat to the healthcare system as millions of Americans could lose health insurance coverage if the Affordable Care Act (the “ACA”) is struck down. The main issues before the Court are as follows: Does the coalition of states led by Texas have standing to