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Payers, Providers, and Patients – Oh My!: The Shrinking Medical Loss Ratio Numerator

Podcast | 08.29.22

In this episode, host Payal Nanavati talks to Shelley Rosenberg and Joe Records about changes to the medical loss ratio (MLR) requirements impacting commercial coverage, particularly the limitations on what expenses issuers can include in their MLR numerators.

Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

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Insights

Podcast | 07.24.26

Payers, Providers, and Patients – Oh My!: The No Surprises Act's Independent Dispute Resolution Process & 2026 Updates

Host Megan Beaver talks to Alex Lucas and Jason Mayer about the No Surprises Act, a 2021 law designed to protect patients from unexpected medical bills, the federal independent dispute resolution process it created, the challenges that have plagued that process, and the new federal rule issued on June 4, 2026. The episode also covers the growing wave of enforcement litigation and what’s on the horizon for IDR....