"The court's decision ... offers relief from the need to recalculate the QPAs applicable to services or disclose additional information to providers about the methodology used in determining QPAs.... However, under the ruling, many claims administrators and insurers will need to vary their practice of pending claims for a period while seeking needed information. When the NSA rules apply, they will need to process a claim within 30 days of receiving a bill.... The decision may also signal how courts will apply the Supreme Court's standard that limits the discretion of regulating agencies." [Texas Medical Association (TMA) v. HHS, No. 23-40605 (5th Cir. Oct. 30, 2024)]  MORE >>