AHA's comment on the proposed rule related to the operations of the Independent Dispute Resolution Process (IDR) established by the No Surprises Act.
Surprise Billing Advocacy Updates
Over the past year, there has been considerable public and policymaker focus on the issues of surprise medical billing and health care price transparency. The AHA supports protecting patients from surprise medical bills and improving patient access to meaningful pricing information. The following resources provide more information on the AHA’s position, including in response to regulatory and legislative proposals.
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The departments of Health and Human Services, Labor and the Treasury issued Oct.
AHA comments on the proposed rule by the federal agencies related to the fees for the Independent Dispute Resolution Process (IDR) as established by the No Surprises Act (NSA).
Just as there are challenges to making health care more affordable, there are many opportunities to reduce costs without compromising care. Hospitals are pursuing these opportunities in variety of ways. Many are tackling the affordability issue already, seeking change that makes sense for them and the communities they serve, and working to improve, price transparency and eliminate ‘surprise’ billing.
AHA provides additional recommendations on implementation of the independent dispute resolution (IDR) process included in the No Surprises Act.
A Texas judge held that the federal government’s revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in commercial insurers’ favor in violation of the compromise Congress reached in the Act.
The Centers for Medicare & Medicaid Services (CMS) today released new guidance extending an enforcement delay of the uninsured/self-pay good faith estimate convening provider requirements until further rulemaking to establish a standard technology or transaction. Under the No Surprises Act, providers are required to share good faith estimates with uninsured and self-pay patients prior to any service scheduled three or more days in advance, or at the request of the patient.
The American Hospital Association, the American Medical Association and the Medical Group Management Association (MGMA) urge the CMS not to include a convening/co-provider framework when implementing the Advanced Explanation of Benefits and insured good faith estimate provisions under the No Surprises Act.
The American Hospital Association and American Medical Association will file an amicus brief in support of a lawsuit filed today by the Texas Medical Association challenging the federal government’s August final rule governing the No Surprises Act’s independent dispute resolution process, the groups announced today.
The Departments of Health and Human Services (HHS), Labor, and the Treasury (Departments) on Friday, Aug. 19, 2022 issued final regulations pertaining to several provisions of the No Surprises Act.
Another major federal price transparency requirement went into effect July 1, 2022. There are three major federal price tra
AHA comments on the forms providers may use to file complaints with the Centers for Medicare & Medicaid Services (CMS) regarding implementation of the No Surprises Act.
The American Hospital Association appreciates the opportunity to work with the Centers for Medicare & Medicaid Services (CMS) on implementation of the No Surprises Act.
The Departments of Health, Treasury and Labor (collectively, “the departments”) today opened the federal Independent Dispute Resolut
: Letter with comments to CMS on the burden estimates associated with the delivery of good faith estimates to uninsured and self-pay patients and the patient-provider dispute resolution process established under the No Surprises Act.
A federal judge in Texas last night struck down certain parts of the federal government’s surprise medical billing regulations related to the arbitration process for determining payment for services by out-of-network providers, saying the regulations conflict with the text of the No Surprises Act.
Effective Jan. 1, 2022, facilities and providers will need to adhere to several new policies required by the No Surprises Act. Specifically, facilities and providers will not be permitted to balance bill patients in certain out-of-network scenarios unless certain conditions are met, they must provide uninsured and self-pay patients with good faith estimates for most scheduled services (or upon request), and they must provide patients with disclosures of their new rights.
The American Hospital Association (AHA) and American Medical Association (AMA) sued the federal government today over the misguided implementation of the federal surprise billing law. The associations are joined in the suit by hospital and physician plaintiffs, including Renown Health, UMass Memorial Health and two physicians based in North Carolina.