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CMS adds two new No Surprises Act IDR entities
The departments of Health and Human Services, Labor, and the Treasury have certified two more independent dispute resolution entities, bringing the total number to 15.
Roses from anonymous volunteers lift patients’, loved ones’ spirits
Feeling exhausted and emotionally drained from a visit to the emergency room with a loved one at Lakeview Hospital in Bountiful, Utah, Nancy Lawrence was surprised as she walked to the parking lot to see several people placing roses and handwritten notes on the cars.
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.
AHA Statement to Senate Committee on Aging Hearing on Health Care Services
AHA shares the hospital field’s comments on how to reduce health care costs for seniors.
CMS releases No Surprises Act complaint data, enforcement report
The Centers for Medicaid and Medicare Services Aug. 20 released a report presenting data on complaints and enforcement efforts by the agency concerning title XXVII of the Public Health Service Act, which includes both the surprise billing and price transparency provisions of the No Surprises Act.
Appeals court affirms district court decision invalidating provisions in No Surprises Act
The 5th Circuit Court of Appeals Aug. 2 affirmed a district court's decision to set aside certain regulations implementing the No Surprises Act. In particular, the decision invalidates regulatory provisions governing how arbitrators are to weigh the qualifying payment amount in arbitration proceedings.
Agencies to reopen comment period for No Surprises Act IDR rule
The departments of Health and Human Services, Labor and the Treasury will reopen the public comment period for their proposed rule to improve the No Surprises Act independent dispute resolution process for 14 days beginning Jan. 22 to provide additional time for interested parties to comment.
CMS releases proposed rule to improve No Surprises Act IDR process
The departments of Health and Human Services, Labor and the Treasury issued a proposed rule intended to improve how the No Surprises Act independent dispute resolution process functions in response to feedback and challenges shared by stakeholders.
Webinar: Implementing Regulations on Surprise Medical Billing: Part 4
In this webinar, the AHA staff discuss the interim final regulations implementing certain provisions of the No Surprises Act. We will focus on the issues we plan to address in our comment letter regarding the regulations including the independent dispute resolution process, the good faith estimates for the uninsured and self-pay patients, the dispute resolution process for certain patients to contest their bills, and additional oversight of health plans.
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.