Texas-based study raises questions about impact of using additional criteria in No Surprises Act arbitration cases
Study results indicate that ongoing litigation over the independent dispute resolution process established by the No Surprises Act may not have a major impact on outcomes.
Insurer groups issue report showing the No Surprises Act’s early impact on patient billing
More than 2 million potential surprise medical bills were prevented during the first two months of the No Surprises Act, according to the health insurance lobby.
News Briefs: Hospital labor costs rose by almost 40% between 2019 and early 2022
As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.
Hospital prices increasingly are coming under a microscope
Newly issued reports and policy recommendations are examining hospital prices in the context of high healthcare costs.
2023 regulations for Medicare Advantage and ACA marketplaces seek to enhance network adequacy standards
HHS and CMS recently released sets of 2023 regulations that affect provider network adequacy standards in Medicare Advantage and the Affordable Care Act insurance marketplaces.
Big delays could be in store for early No Surprises Act arbitration cases
The portal for payment arbitration cases taking place under the No Surprises Act is open for business but could be facing a backlog of cases.
OIG calls out issues with denials of payment and services in Medicare Advantage
Medicare Advantage processes related to prior authorization hamper beneficiaries’ access to medically necessary care, according to a new report from the HHS Office of Inspector General.
Claims submitted to HRSA’s COVID-19 funds for uninsured and underinsured patients soon won’t be paid
Funds used to reimburse providers for supplying COVID-19-related services to the uninsured and underinsured will expire soon if Congress doesn’t act.
Healthcare spending projections for the next decade reflect an expectation of steadying trends post-pandemic
CMS actuaries say the healthcare spending spike of 2020 will be tempered across sectors and payers in upcoming years.
News Briefs: Federal funding bill addresses hospitals’ 340B eligibility concerns, extends telehealth waivers
A monthly roundup of top news for healthcare finance professionals.