The Biden administration largely stood firm on its plan for resolving disputes over surprise medical bills, despite vocal opposition from physicians and other providers.
In a final rule published late Friday, the government said the entities that are meant to settle disputes between insurance companies and out-of-network providers must start their considerations with the median in-network payment rate for the service in question.
Many providers don’t want the arbiters to rely on the median in-network payment rates, because they’ll get paid less if those in-network charges are taken into account. Already eight provider groups have sued the government on this point.
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