Last week, on September 25, 2025, Judge O’Connor in the U.S District Court for the Northern District of Texas ruled in favor of Humana (the Humana Decision) and vacated the Centers for Medicare & ...
On September 25, 2025, the U.S. District Court for the Northern District of Texas issued a significant decision vacating a rule issued by the Centers for Medicare & Medicaid Services (“CMS”) that ...
“I don’t think there is enough oversight.” When it comes to getting money back from health plans, extrapolation is the big sticking point. Although extrapolation is routinely used as a tool in most ...
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