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AHA Provides Additional Recommendations Regarding the No Surprises Act Independent Dispute Resolution Process
AHA provides additional recommendations on implementation of the independent dispute resolution (IDR) process included in the No Surprises Act.
Texas Judge Strikes Down No Surprises Act Revised Dispute Resolution Process
A Texas judge held that the federal government’s revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in commercial insurers’ favor in violation of the compromise Congress reached in the Act.
CMS Issues Proposed Rule for CY 2024 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024. The proposed rule would increase oversight of Medicare Advantage (MA) plans and better align them with Traditional Medicare, address access gaps in behavioral health services and further streamline prior authorization processes, supplementing a separate proposal last week.
Acclaimed Musicians Send Holiday Cheer to Front-line Caregivers and Patients
For the third consecutive year, Musicians On Call is reaching out in appreciation of hospitals and health systems and their extraordinary teams with a holiday special featuring acclaimed and award-winning artists.
CMS Delays Enforcement of the Good Faith Estimate Convening Provider Requirement
The Centers for Medicare & Medicaid Services (CMS) today released new guidance extending an enforcement delay of the uninsured/self-pay good faith estimate convening provider requirements until further rulemaking to establish a standard technology or transaction. Under the No Surprises Act, providers are required to share good faith estimates with uninsured and self-pay patients prior to any service scheduled three or more days in advance, or at the request of the patient.
AHA Response to “Make Your Voice Heard” RFI – Promoting Equity and Efficiency in CMS Programs
The AHA appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ (CMS) “Make Your Voice Heard” Request for Information (RFI) on promoting equity and efficiency in
About The Health Equity Roadmap Work
AHA’s Institute for Diversity & Health Equity designed the Health Equity Roadmap as a framework to guide hospitals and health care systems to advance equity.
Value Proposition
AHA’s Health Equity Roadmap helps hospitals & health systems advance equity within their organizations & the communities they serve.
Surprise Billing
The No Surprises Act addresses surprise medical billing at the federal level. Most sections of the legislation go into effect on Jan. 1, 2022, and the Departments of Health and Human Services, Treasury, and Labor are tasked with issuing regulations and guidance to implement a number of the provisions.