Patrick Velliky, HaloMD's chief external affairs officer, maintains the No Surprises Act is reducing out-of-network spending despite contradictory research, while responding to criticisms of both his analysis and the company.
The 5th Circuit Court of Appeals ruled that insurers cannot include ghost rates or exclude bonus payments when calculating the qualifying payment amount used to determine reimbursement for out-of-network bills, a major win for healthcare providers that could increase their payments.
A key GOP lawmaker is investigating whether the American Medical Association's medical billing codes are contributing to healthcare fraud, broadening Republican efforts to combat fraud in the healthcare system.
