Articles and Blogs

According to a recent decision by the Fifth Circuit Court of Appeals (the “Court”), providers cannot use private lawsuits to compel health plans to pay amounts awarded through the federal No Surprises Act’s (“NSA”) out-of-network independent dispute resolution (“IDR”) process. In its June 12, 2025, ruling in Guardian Flight, L.L.C. et al. v. Health... READ MORE

Recently, the Departments of Health and Human Services, Labor and the Treasury (collectively, the “Departments”) issued an extension for health care providers impacted by the Change Healthcare cyberattack to submit out-of-network payment disputes through the federal No Surprises Act (“NSA”) independent dispute resolution (“IDR”) process. The NSA IDR process permits providers and facilities that... READ MORE

On December 21, 2023, the Departments of Health and Human Services, Labor and the Treasury (collectively, “the Departments”) released a final rule that sets the applicable fees for participating in the No Surprises Act’s (“NSA”) Independent Dispute Resolution (“IDR”) process. The new administrative fee and IDR entity fee ranges established under the final rule... READ MORE

On November 3, 2023, the Departments of Health and Human Services, Labor, and the Treasury (collectively, “the Departments”) released a proposed rule that would implement significant administrative and technical changes to the No Surprises Act’s (“NSA”) Independent Dispute Resolution (“IDR”) process (the “Proposed Rule”). These changes aim to create a more efficient IDR process... READ MORE