The No Surprise Act went into effect on January 1, 2022. It protects patients from out-of-network surprise bills. Health care organizations must comply with these regulations for emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers.
In this episode of Value-Based Care Insights, Daniel J. Marino speaks to Shawn Stack of HFMA to share how health care systems can navigate the No Surprise Act.
- Price transparency initiatives originally rolled out from a perspective of providers being transparent on their actual charges
- One of the biggest drivers of higher costs is the structure of the Medicare fee schedule and reimbursement
- As the No Surprise Act and Price Transparency Act is implemented, it will be important to give feedback to legislators and CMS on policies