Current insurer calculation of qualified payment amount for out-of-network OON care may violate No Surprises Act: American Society of Anesthesiologists insurancenewsnet.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from insurancenewsnet.com Daily Mail and Mail on Sunday newspapers.
In possible violation of the No Surprises Act, health insurance company calculations of Qualified Payment Amounts for anesthesiology, emergency medicine and radiology services – and possibly other specialty services – likely include rates from primary care provider contracts. That's according to a new study conducted by Avalere Health and commissioned by three national
Current Insurer Calculation of Qualified Payment Amount for Out-of-Network (OON) Care May Violate No Surprises Act streetinsider.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from streetinsider.com Daily Mail and Mail on Sunday newspapers.
Skewing data when calculating key rate for OON care weakens community anesthesiology, emergency and radiology practices, and can be used to narrow provider.