Matthew Handley and Fulcrum Strategies president and CEO Ron Howrigon discuss the recent rulings in the third Texas Medical Association case against the Centers for Medicare and Medicaid Services (CMS), commonly known as TMA 3.  Judge Jeremy Kernodle ruled that CMS violated the No Surprises Act by publishing guidelines on the Qualified Payment Amount that contradicted the law in several ways.  However, Judge Kernodle ruled against the plaintiffs by deciding that the QPA does not have to be transparent.  Matthew and Ron discuss what this means for physicians, hospitals, and the general public. Follow Matthew and Ron on X.