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Agencies Bolster Reasoning for Out-of-Network Emergency Services Payment Method
Thomson Reuters Practical Law Link to more items from this source
[Guidance Overview]
May 2, 2018

"For the moment, at least, ... plans and insurers should continue to apply the [greatest-of-three (GOT)] regulation under the November 2015 final rules in calculating minimum payment rates for out-of-network emergency services. As a reminder, [HHS, DOL and Treasury] also take the view that plans or insurers must disclose how they calculate amounts under the minimum payment standards. This includes the method the plan or insurer uses to determine payments for out-of-network services."  MORE >>

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