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No Surprises Act Implementation Handbook
The No Surprises Act established new patient protections against balance billing in certain circumstances, as well as put into place a number of other provisions that will change how providers and health plans engage with patients and each other with respect to price and coverage transparency, as well as billing. The following implementation guide is intended to help hospitals and health systems understand the new provisions in the law and corresponding regulations.
Community Collaboration for Solutions
Advancing health equity and fostering healthy communities by investing in strong hospital-community partnerships.
Going Beyond REaL Data Collection: Collecting Social Determinants of Health
This joint webinar between HPOE and the Disparities Solutions Center at Massachusetts General Hospital discusses strategies and approaches implemented by hospitals and health care systems to collect the social determinants of health, with the understanding that this information will be critical for population health efforts of health plans, hospitals and health centers nationwide.
Get Inspired to Improve Community Health | Center
It’s Community Health Improvement Week (Chi-week). Share your ideas, hopes and dreams for a nation where all people can enjoy healthy lives.
AHA Comments to CMS Re: Agency Information Collection re: Requirements Related to Surprise Billing; Part II
: Letter with comments to CMS on the burden estimates associated with the delivery of good faith estimates to uninsured and self-pay patients and the patient-provider dispute resolution process established under the No Surprises Act.
Talking Points on Surprise Medical Billing Legislation
AHA talking points on surprise medical billing and the major provisions of three bills pending before Congress.
Talking Points on Surprise Medical Billing Legislation
Overall Talking Points on Surprise Billing Solutions: Patients should be protected from surprise bills. They should not be balance billed for emergency services or for out-of-network services obtained in any in network facility when they reasonably could have assumed that the providers were in-network with their health plan.
Federal Judge Strikes Part of Surprise Medical Billing Rule
A federal judge in Texas last night struck down certain parts of the federal government’s surprise medical billing regulations related to the arbitration process for determining payment for services by out-of-network providers, saying the regulations conflict with the text of the No Surprises Act.
Joint Surprise Billing Letter to Congress and Committee Leadership
Surprise bills can cause patients stress and financial burden at a time of particular vulnerability: when they are in need of medical care. Patients are at risk of incurring such bills during emergencies, as well as when they schedule care at an in-network facility without knowing the network status of all of the providers who may be involved in their care. We must work together to protect patients from surprise bills.
Surprise Billing Principles
America’s hospitals and health systems are committed to protecting patients from “surprise bills” and support a federal legislative solution to do so. These types of bills may occur when a patient receives care from an out-of-network provider or when their health plan fails to pay for covered services.