Texas Docs Challenge QPA Methodology In 3rd Suit Over NSA Rules

By Amy Lotven / December 2, 2022 at 6:44 PM
The Texas Medical Association (TMA) has filed another suit over the rules implementing the surprise billing law, this time arguing that the methodology the Biden administration crafted for calculating the qualifying payment amount, or in-network median rate, conflicts with statute, allows insurers to artificially deflate the QPA and should be thrown out. This is the TMA’s third suit over the rule issued last October and, like the other two, was filed in the U.S District Court for the Eastern District...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.