Gargano v. Elevance Health, Inc.

Why This Matters:

The plaintiff, a New York-based plastic surgeon, sued a health insurer following the resolution of the No Surprises Act’s arbitration process—a process used to resolve payment disputes for surprise out-of-network bills between payers and out-of-network health care providers. The plaintiff alleges that the insurer has failed to make the arbitration payments and asks the court to confirm the arbitration awards.

Potential Impact:

The No Surprises Act provides for strict limitations on the judicial review of arbitration awards to facilitate a swift and cost-efficient resolution of disputes between payers and providers.