No Additional Reimbursement Owed to Hospitals in Stop-Loss Dispute

A Texas appellate court upheld a determination that a group of hospitals that provided services to workers covered by various insurance carriers were not entitled to additional reimbursement. Case: Vista Medical Center Hospital v. Texas Mutual Insurance Co., No. 03-21-00242-CV, 12/28/2022, published.   Facts: In 1997, the Workers' Compensation Commission promulgated fee guidelines governing the medical reimbursement carriers must pay for inpatient hospital admissions. The guidelines generally required reimbursement according to a per diem methodology based on the category of admissi...