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What Providers Need to Know: Determining “Reasonable Value” for Future Medical Costs

First few Article Sentences

The Patient Protection and Affordable Care Act (ACA) requires all Americans to have health insurance – and health insurance companies cannot deny coverage for a pre-existing condition. This is not news – but what is new is the increased scrutiny and the changes in the methods used to determine the “reasonable value” of future medical costs. This comes into play in litigation cases between providers and health plans, and on behalf of patients and providers involved in malpractice, workers’ compensation and personal injury cases. Health care providers should understand how the value of medical expenses are determined, especially future medical costs.

Adams, Paul


Moss Adams LLP

Provider Reasonable Value

March 8, 2016

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