As the health care industry continues to evolve, disputes are becoming increasingly complex, from reimbursement matters and provider contracts to False Claims Act issues. In this episode of the JAMS ...

Providers and drugmakers are once again at odds over the 340B drug discount program: this time, over a rule finalized by the Biden administration on Thursday making changes to its dispute resolution ...

In a final rule on fees for disputed claims, Health and Human Services and other departments are finalizing an amount of $115 per party for disputes initiated on or after the effective date of this ...

A much higher volume of out-of-network pay disputes were being filed and processed through the first half of 2024 than during the year preceding it, though cases remain concentrated among a small ...

As more providers and insurers consolidate, the chances that both sides will run into disagreements over their in-network contracts have heightened, according to a report from the Center on Health ...

The American Arbitration Association has adopted a new set of rules to govern commercial disputes between hospitals, physicians and insurers. Alan Lash, JD, is a founding partner with Lash & Goldberg, ...

The Centers for Medicare and Medicaid Services is extending independent dispute filing deadlines through at least mid-October after the Change Healthcare cyberattack threw the process into disarray.

In my work as a state senator, I have received numerous calls from patients and their families, expressing concerns that are all too common today. They’re experiencing anxiety, confusion and ...

SYRACUSE, N.Y. — Excellus BlueCross BlueShield customers are once again caught in a contract dispute between the insurance company and a major healthcare provider. Over the weekend, FamilyCare Medical ...

The federal government received 13 times more surprise billing disputes in the first half of 2023 than it expected to receive in a full year, according to new CMS data. And the amount is growing each ...

Thousands of Californians who get medical care at UC Health through Blue Shield of California — including many in the Bay Area who go to UCSF and One Medical, a UCSF affiliate — may need to find a ...

The largest insurance provider in Idaho announced this week that it is seeking a state investigation into how a new hospital ...