Federal IDR Initiation Fee of $150 Proposed for 2024
This week, the Departments of Health and Human Services (HHS), Labor, and the Treasury proposed a rule setting forth the fee for the federal Independent Dispute Resolution (IDR) process at $150 per party for CY 2024 – compared to $50 in CY 2022, and a proposed level of $350 in CY 2023, which was the subject of a District Court order.
The No Surprises Act established a federal IDR process for insurers and nonparticipating physicians and facilities to resolve certain disputes regarding out-of-network rates, and provided that parties to a determination under the IDR process will pay a fee to the federal government for participation. In December 2022, the Departments increased the federal IDR process fee from $50 to $350 for CY 2023. Following a further lawsuit initiated by the Texas Medical Association, on August 3, 2023, the Texas District Court issued a memorandum opinion and order that vacated the portion of the December 2022 guidance that increased the administrative fee for the Federal IDR process to $350 per party for CY 2023.
Share
FTC Passes Rule to Prohibit Most Non-Compete Agreement – Questions Remain about Implementation This week, the Federal Trade Commission (FTC) voted 3-2 to issue a far-reaching final rule that would prohibit “non-compete” provisions in employment contracts. The final FTC rule exempted from these protections executives earning more than $151,164 annually who are in “policymaking” positions. The FTC has estimated that […]
-
State Budget Takes Steps to Protect Patient Access to Community-Based Physician Care Colleagues: “We must, indeed, all hang together, or most assuredly we shall all hang separately.” —- Benjamin Franklin, 1776 This past week, we saw the wisdom of Ben Franklin’s message. MSSNY, working together with numerous allies, has accomplished a plethora of important […]
-
Why Join MSSNY? Dr Patel Shares His Journey with Organized Medicine Dr. Patel shares his enriching experiences with MSSNY’s mentors and networking events that have significantly advanced his medical career.
