Nutex Health applauds Fifth Circuit ruling rejecting “ghost rates” in No Surprises Act QPA calculations

• Nutex Health welcomed a Fifth Circuit en banc ruling that struck down parts of federal rules for No Surprises Act QPA calculations.
• CEO Tom Vo said insurer use of unnegotiated “ghost rates” depressed QPAs since 2022, forcing more costly, time-consuming IDR disputes.
• Court found no basis to allow $1 placeholder rates while excluding $0 rates; also rejected excluding bonus and incentive payments from QPAs.
• Patient balance-billing protections under the law remain unchanged; the dispute centers on insurer-provider payment levels for out-of-network care.
• Insurers may need to recalculate QPAs once new rules are issued; current enforcement relief allows prior methods before Oct. 1, 2026.

Disclaimer: This news brief was created by Public Technologies (PUBT) using generative artificial intelligence. While PUBT strives to provide accurate and timely information, this AI-generated content is for informational purposes only and should not be interpreted as financial, investment, or legal advice. Nutex Health Inc. published the original content used to generate this news brief via PR Newswire (Ref. ID: LA32719) on August 25, 2026, and is solely responsible for the information contained therein.