No Surprises Act 2022: Ensuring Compliance

A Conversation with Shawn Stack of HFMA

Episode Overview:
The No Surprises Act went into effect on January 1, 2022. It protects patients from out-of-network surprise bills. Health care organizations must comply with these regulations for emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers.

In this episode of Value-Based Care Insights, Daniel J. Marino speaks to Shawn Stack of HFMA to share how health care systems can navigate the No Surprises Act.

  • Price transparency initiatives originally rolled out from a perspective of providers being transparent on their actual charges
  • One of the biggest drivers of higher costs is the structure of the Medicare fee schedule and reimbursement
  • As the No Surprises Act and Price Transparency Act is implemented, it will be important to give feedback to legislators and CMS on policies

About The Show
From Healthcare NOW RadioValue-Based Care Insights is a podcast that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. Hosted by Dan Marino (@DjmarinoHD), the VBCI podcast highlights recognized experts in the field and within Lumina Health Partners (@LuminaHP). Join the conversation on Twitter at #VBCInsights. This article was originally published on the Lumina Health Partners blog and is republished here with permission. For transcript, see original post.