Month: May 2024

House panel advances bill extending telehealth rules

House panel advances bill extending telehealth rules

May 16, 2024

MICHAEL MCAULIFF   

A House subcommittee took the next steps Thursday to extend telehealth flexibilities and expanded remote patient monitoring rules due to expire at the end of the year. 

The House Energy and Commerce Subcommittee on Health voted overwhelmingly to send to the full committee the Telehealth Enhancement for Mental Health Act of 2024, the Telehealth Modernization Act of 2024 and the Expanding Remote Monitoring Access Act of 2024.

MultiPlan, insurance giants sued over out-of-network rates

MultiPlan, insurance giants sued over out-of-network rates

April 29, 2024

NONA TEPPER  

A rural health system sued technology company MultiPlan and eight of the country’s largest insurance companies over alleged schemes to strongarm providers into accepting low out-of-network rates. 

At issue in the proposed class-action suit are MultiPlan’s repricing tools, which allegedly rely on insurers’ data to deflate their out-of-network reimbursement payments.

MultiPlan acts as an intermediary between insurers and providers to help negotiate pay when a contract does not exist and protect patients from being “balance billed,” or charged the difference between the hospital rate and insurer’s allowed amount.