Physician practices are struggling to comply with the No Surprises Act’s good faith estimate requirements, which went into effect on Jan. 1, 2022. The new federal law requires all providers to...
Hospital price transparency requirements aim to unveil healthcare pricing and support a consumer-oriented healthcare industry. However, hospital price transparency compliance is falling short,...
The American Medical Association (AMA) announced a Current Procedural Terminology (CPT) code set update to include a code for administering a third dose of Pfizer’s COVID-19 vaccine in...
A coalition of physician organizations filed an amicus curiae brief stating HHS’ surprise billing independent dispute resolution (IDR) process will result in an increase in...
Consumers report a negative experience will dissuade them from paying full patient financial responsibility, according to the 2021 Healthcare Consumer Experience Study from Cedar.
In the survey...
According to a JAMA Network Open study, clinicians with multiple hospital affiliations were associated with increased medical cost, clinician service use, and greater procedure breadth.
To conduct the...
In a Health Affairs study, researchers from Yale and Stanford report that hospital lawsuits against patients over unpaid medical debt rose by more than a third in Wisconsin over nearly two decades,...
Pricing information publicly disclosed by CMS’ hospital price transparency rule falls short of informing consumers of their charges for many common hospital-based services, a new study published...
According to a survey from Discover Person Loans, most consumers face medical debt of more than $2,000. The medical debt impacts most consumers’ financial ability to access medical care...
A new survey uncovered the top four barriers hospitals and health systems are confronted with in their efforts to prevent surprise medical bills.
In the survey commissioned by AKASA and performed by...
The nation’s leading hospital and physician groups have filed a lawsuit against the federal government over final rules implementing the independent dispute resolution (IDR) process detailed in...
A letter from the American Medical Group Association (AMGA) called on CMS to revise the interim final rule implementing the No Surprises Act, explicitly changing legislation that favors...
The American Society of Anesthesiologists (ASA) recently accused BlueCross BlueShield of North Carolina of abusing the No Surprises Act to manipulate the market by pressuring clinicians into lower...
CMS has released 11 documents to help providers comply with the No Surprises Act’s requirement that providers give patients a “good faith estimate” of expected charges.
The No...
A new report from researchers in HHS' Office of the Assistant Secretary for Planning and Evaluation (ASPE) shows that most states have enacted laws to protect consumers from surprise billing,...
HHS is creating a federal advisory committee to address ground ambulance billing practices in its latest step toward No Surprises Act implementation.
In an announcement on Friday, HHS said the Ground...
Prior to The No Surprise Act, many air ambulance rides left patients at risk for receiving a surprise bill, according to a USC- Brookings Schaeffer Study.
The air ambulance market has...
The report led by CSS underscores how hospitals throughout New York are securing liens against patient homes following a court-ordered medical debt judgment. These predatory medical debt tactics...
CMS continues to control improper payments in Medicare fee-for-service (FFS). The federal agency recently announced that the 2021 Medicare FFS improper payment rate hit a historic low of 6.26 percent...
Patient financial assistance with hospital bills was sought out at a higher rate in 2021 compared to 2020 partly due to hospital billing practices, according to new data from TransUnion...
