explore -WSS

explore

author：entertainment 2025-09-27 16:23:06 - browse：2

A yellow air ambulance in the sky. -- health business coverage from STAT — Ed Uthman

After Congress officially outlawed surprise medical bills last year, there’s been endless, litigious debate as to how health insurance companies and providers should settle their differences over how much to pay for out-of-network medical bills. Now, an air ambulance provider that already went through the arbitration process is suing Blue Cross Blue Shield of Arizona, which the company says won’t pay the agreed-upon amounts.

The idea behind the arbitration process is to protect patients from getting slapped with massive bills when providers and insurers can’t agree on how much a given health care service is worth. Instead of billing patients for the difference, the government established an independent dispute resolution process in which a third party picks between the provider’s and the payer’s offers for a claim.

This case is one of the first where the provider isn’t disputing the arbitration process itself, or the amount chosen. Instead, the air ambulance company, PHI Health, says BCBS of Arizona has failed to pay up after arbitration — even in cases where the arbitrator chose the amount the insurance company proposed.

Get unlimited access to award-winning journalism and exclusive events.

Subscribe Log In

Previous article： Supreme Court strikes down use of affirmative action
Next article： Kidney disease boosts cardiac arrest risk for Hispanics, Latinos

WSS

Life sciences deals on track to hit lowest point since 2017

European regulators recommend Amylyx's ALS drug be rejected

CRISPR base editing slashes cholesterol levels in monkeys

How clinical AI models' predictive power can degrade over time

What will Novo Nordisk's VC do with its influx of cash?

Lawsuit highlights wrinkle for disputes over surprise medical bills

hotspot

explore

focus

Novavax promises a turnaround & Lilly roils the obesity market

CDC picks Alphabet's Verily for wasterwater surveillance contract

Indiana Supreme Court upholds abortion ban, says state constitution gives only limited protections

Nobel honors Karikó and Weissman's enduring partnership

Apple is now the first public company to be valued at $3 trillion

STAT Readout: Today's biotech news includes Sana and Amylyx

Drug repurposing or repositioning? The language matters

European regulators recommend Amylyx's ALS drug be rejected

ChatGPT in medicine: STAT answers readers' burning questions

Peter Marks talks Operation Warp Speed for Rare Diseases

focus

Massive project maps cells in human brain in unprecedented detail

The biotech scorecard for Q4: 16 stock

What's changing in Medicare's open enrollment this year?

A revolution in caring for preterm infants

Akero's treatment for NASH falls short in cirrhosis study

Congress extends some pandemic preparedness programs

leisure time

entertainment

hotspot

hotspot