Christopher Pinto

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Caught by Surprise! NSA’s QPA Calculation Methodology Given the Boot

After years of litigation surrounding the No Surprises Act (NSA), there should be no surprise that there are new changes. On August 11, 2026, the Fifth Circuit issued its opinion in Texas Medical Association v. U.S. Department of Health and Human Services, changing how health plans and insurers calculate the Qualifying Payment Amount (QPA) under … Continue Reading

The No Surprises Act: Key Developments to Watch in 2026

As the No Surprises Act (NSA) enters 2026, federal agencies are expected to focus on three key issues: finalizing delayed rulemaking, issuing guidance to address operational challenges in the Independent Dispute Resolution (IDR) process, and managing enforcement discretion amid ongoing litigation. At the same time, several statutory provisions remain unimplemented, creating regulatory uncertainty for health … Continue Reading
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