By Mohit Saxena – The CMS final updates to the No Surprises Act Independent Dispute Resolution process this past spring represent one of the most significant changes since the program took effect in 2022. Since the program began, over five million disputes have been filed, creating backlogs, administrative complexity, processing delays, and rising costs across the system.
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This rule, finalized by the HHS, through CMS, the Department of Labor and the Department of the Treasury along with the Office of Personnel Management, directly addresses bottlenecks by helping to reduce the number of ineligible disputes entering the system at a lower cost to payers and providers.
Now on demand this Health Cent$ 5-part series on why healthcare is so expensive. Host Adam Russo and his guest Scott Bennett share details of cases with outrageous billing and how they were billed, why they were billed, and what the final outcomes were for the patients.
By Bryan M. Dunton Esq. – The No Surprises Act (NSA) was enacted to address a specific and highly visible problem: patients receiving unexpected out-of-network bills for care they did not choose and often could not avoid. In that respect, the statute has largely done what Congress intended.
By David Ostrowsky – Though the No Surprises Act was designed to safeguard patients against receiving unexpected medical bills, it has become apparent that certain trends within the corresponding Independent Dispute Resolution process may be contributing to increased costs for employer-sponsored plans. The Phia Group has analyzed data that sheds light on these patterns.
By Elisabeth Rosenthal – The No Surprises Act, which took effect in 2022, was rightly heralded as a landmark piece of legislation, which “protects people covered under group and individual health plans from receiving surprise medical bills,” according to the Centers for Medicare & Medicaid Services. And yet bills that take patients like Chen by surprise just keep coming.
By Eric Demers – In 2022, 20% of adults said they or their family received an unexpected medical bill. The No Surprises Act, which went into effect last year, is better late than never. A bipartisan effort to protect patients from unexpected healthcare expenses, the NSA minimizes surprise billing and makes…
By Matthew Albright – The issue of surprise billing has long plagued the U.S. healthcare system. The need for legislation to protect individuals from surprise billing is strikingly clear, as studies reveal that one in five emergency room visits result in an unexpected bill for patients.
Value-Based Care Insights Podcast with host Daniel J. Marino. In this episode Dan speaks with Shawn Stack of HFMA to share how health care systems can navigate the No Surprises Act.