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No Surprises Act Implementation Handbook
The No Surprises Act established new patient protections against balance billing in certain circumstances, as well as put into place a number of other provisions that will change how providers and health plans engage with patients and each other with respect to price and coverage transparency, as well as billing. The following implementation guide is intended to help hospitals and health systems understand the new provisions in the law and corresponding regulations.
Fact Sheet: No Surprises Act Rural Impact
The House Energy and Commerce Committee in July passed legislation, The No Surprises Act (H.R. 2328), to prevent surprise medical bills.
Fact Sheet: Surprise Billing Legislation
The Senate and House are both considering legislation to address surprise medical bills that patients may incur as a result of unexpected gaps in insurance coverage or medical emergencies. Below are brief summaries of the proposals under consideration. A
Fact Sheet: Surprise Medical Billing Legislation Rural Impact
AHA Ask: AHA supports protecting patients from surprise medical bills. Policymakers should focus on assisting rural hospitals in their negotiations with payers and providing the incentives and resources needed to maintain local access to care and not undermine these communities with potentially harmful national policy changes.
Fact Sheets and Talking Points on Surprise Billing Legislation
This is a collection of Fact Sheets and Talking Points documents that the AHA has released on Surprise Medical Billing Legislation.
Fact Sheet: Hospital Price Transparency
Hospitals and health systems are committed to empowering patients with all the information they need to live their healthiest lives. This includes ensuring they have access to accurate price information when seeking care. Most hospitals use cost estimate tools to provide patient-specific price information because every course of care is unique.
Fact Sheet: Lower Health Care Costs Act (S.1895) Rural Impact
The Senate Health, Education, Labor and Pensions Committee June 19 introduced the Lower Health Care Costs Act (S.1895), legislation to prevent surprise medical bills, reduce prescription drug prices, improve transparency in health care, invest in public health and improve health information exchange.
Fact Sheet: Network Matching
Some policymakers have expressed interest in “network matching” as a solution to surprise medical bills. To date, the only proposal defining such an approach, which was ultimately rejected, was included in the discussion draft of the Senate HELP Committee’s “Lower Health Care Costs Act.”
Fact Sheet: How Commercial Insurers Turned Ending Surprise Medical Bills into an Industry Windfall
The one issue that all stakeholders – hospitals, physicians, insurers and consumers – agree on is that
patients should not be balance billed for emergency services, or for services obtained in any in-network
facility when the patient could reasonably have assumed that the providers caring for them were in-network
with their health plan.