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News

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.
Letter/Comment
Public

AHA Urges Elevance Health to Rescind Anthem’s Nonparticipating Provider Policy

America’s hospitals, health systems and its caregivers have significant concerns regarding Anthem’s nonparticipating provider policy1 and the harm it will inflict on patients.
News

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.
Stories
Public

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.
News

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.  
News

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.
Fact Sheets

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.
News

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.
Fact Sheets
Member

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.
Content
Public

Sparking Social Connection and Community With Indiana University Health

In 2023, the U.S. Surgeon General issued a shocking 80-plus page advisory declaring loneliness and social isolation as reaching epidemic levels in American society.