Although the “Requirements Related to Surprise Billing: Final Rule,” was released on August 19th, the No Surprises Act roll-out is far from complete. Its complexity means adherence, oversight, and enforcement, as well as system and process changes, are still works in progress.
Enforcement of the No Surprises Act is still a work in progress, but CMS is ready to give out As for effort. Whether patients will agree with that grade still remains to be seen.
By reducing administrative burden and redesigning workflows around human needs, it creates space for what matters most: connection between clinicians and patients.
The clock is ticking down for payers and providers to comply with the No Surprises Act, which protects patients from balance billing for the most common ancillary medical services. Here's how to get your ducks in a row.
Until Medicare and commercial insurers link the reimbursement they pay providers to the things that matter to us as consumers and citizens, we will continue to have a dysfunctional system that abides appalling practices like surprise billing, and continue to spend time on band-aids like this interim final rule instead of fixing the real problem.
Given the complex and systemic nature of the country’s crisis, no single solution or course of action can be expected to serve as a panacea. A multi-pronged approach — including digital health tools — that enlists both public and private health stakeholders and addresses each stage of the medical debt life cycle will be required.
To know how Chiquita Brooks-LaSure will lead the Centers for Medicare and Medicaid Services, we sat down with Matthew Hittle, a former senior adviser to Seema Verma, who led the agency under the former president.
Zelis highlights how employers, payers, and consumers are integrating digital tools to manage healthcare costs.
While the law is protecting patients, doctors say the limits on what insurers now pay has given the companies an unfair advantage in negotiations with doctors, which is leading to major changes in the industry that may affect patients.
As Congress considers various plans and negotiates behind the scenes, data is trickling in from states that have been test-driving proposed solutions.
Colorado Senator and 2020 Democratic Presidential Candidate Michael Bennet was at the second annual HLTH conference in Las Vegas on Wednesday in a session designed to probe his healthcare stances.