WolfePack Wisdom

A comprehensive legal resource page with original commentary and key takeaways on critical topics impacting our clients industries.

The No Surprises Act: Will Providers Hit the Home Run in the Baseball-Style IDR Arbitration?

The Lead Off by Congress Congress enacted the bipartisan No Surprises Act (“NSA”) to end surprise medical bills for emergency services. Among various protections for patients, the NSA also provides for an independent dispute resolution (“IDR”) arbitration process to resolve payment disputes between providers and payors for out-of-network emergency services and certain services furnished by

CMS Final Rule regarding Medicare Advantage Plans

On April 5, 2023, the Centers for Medicare and Medicaid Services (“CMS”) issued a final rule for Medicare Advantage (“MA”) Plans, confirming that MA Plans must follow the 2-Midnight Rule, its case-by-case exception, the inpatient-only (“IPO”) list, as well as traditional Medicare coverage criteria.