In another development in the ongoing litigation over the enforceability of Independent Dispute Resolution (“IDR”) awards issued under the No Surprises Act (“NSA”), two air ambulance providers, Guardian Flight LLC and Med‑Trans Corporation, have filed a petition for writ of certiorari with the U.S. Supreme Court, seeking review of the Fifth Circuit’s decision holding that
Health Plan Compliance
Supreme Court Decision Leaves ACA Preventive Services Mandate Intact
On the last day before the U.S. Supreme Court’s summer recess, the Court issued a decision that left in place the Affordable Care Act (“ACA”) mandate that requires non-grandfathered group health plans and issuers to cover, without cost sharing, all evidence-based items or services that have a rating of “A” or “B” in the current…
Recent Health Plan Litigation Puts Family Building Benefits in Focus
By Jennifer Rigterink & Katrina McCann on
Family building benefits continue to be top of mind as employers and plan sponsors implement new benefit programs to support family building journeys for their employees. At the same time, there have been a few recent lawsuits challenging health plan eligibility criteria for infertility treatment coverage. This post summarizes the recent litigation and challenges for…
More on Braidwood: ACA Preventive Services Mandate Remains Mostly in Place (For the Time Being)
By Jesse T. Foley & Jennifer Rigterink on
At the end of June, the U.S. Court of Appeals for the Fifth Circuit affirmed a district court order invalidating the Affordable Care Act preventive services mandate for “A” or “B” items and services recommended by the United States Preventive Services Task Force (USPSTF) on or after March 23, 2010, on the basis that the…