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Advisory group conducting survey on No Surprises Act good faith estimates
The Workgroup for Electronic Data Interchange announced that it is conducting a survey on how health care providers are implementing good faith estimates for uninsured and self-pay individuals under the federal No Surprises Act.
CMS adds new No Surprises Act IDR entity
The departments of Health and Human Services, Labor, and the Treasury have added Dane Street, LLC as a new independent dispute resolution entity, bringing the total number to 16.
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.
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.
AHA files amicus brief challenging district court decision rendering IDR awards unenforceable
The AHA filed an amicus brief Oct. 4 in the U.S. Court of Appeals for the 5th Circuit challenging a decision by the U.S. District Court for the Northern District of Texas, which ruled that independent dispute resolution awards under the No Surprises Act are judicially unenforceable.
Amicus Brief: Guardian Flight, L.L.C.; Med-Trans Corporation, v. Health Care Service Corporation
No. 24-10561IN THE UNITED STATES COURT OF APPEALSFOR THE FIFTH CIRCUIT
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.
Rel 24.4 Landing
Professional Membership GroupsYour organization’s membership in the American Hospital Association connects you to the nation’s most powerful advocacy organization for hospitals.
Rel 24.4 Event
The hospital and health system field strongly supports protecting patients from surprise medical bills.