Tag: Qualified Payment Amounts

In its fourth ruling regarding the flawed implementation of the No Surprises Act, the U.S. District Court for the Eastern District of Texas agreed with the plaintiffs, the Texas Medical Association, that the government was incorrectly permitting insurers to use a faulty methodology when calculating their median in-network rate, also known as the qualifying payment amount (QPA). This TMA III ruling does not impact the patient protections included in the No Surprises Act that the American College of Radiology® (ACR®), (ACR), American College of Emergency Physicians (ACEP) and the American Society of Anesthesiologists (ASA) advocated for and continue to fully support, nor does it raise patient out-of-pocket costs.