"This decision adds to a growing split on whether providers may enforce IDR awards through private litigation. While the Fifth Circuit has held that no such right exists, this court and certain other federal trial courts have concluded otherwise, meaning that plans and insurers operating outside the Fifth Circuit may face greater exposure to enforcement lawsuits when they fail to pay IDR awards within the required 30-day window." [PHI Health, LLC v. Optimum Choice, Inc., No. 25-2320 (D. Md. Mar. 27, 2026)]  MORE >>