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Blog explains ‘shortcomings’ of RAND 5.0 hospital pricing report
A blog expanding on AHA's initial response last week to the RAND Corporation's latest hospital pricing report notes, "The AHA has previously highlighted significant flaws with older versions of this report, and this latest iteration not only recycles but doubles down on those serious shortcomings — the health policy equivalent of Groundhog Day," write Aaron Wesolowski, AHA vice president of research strategy and policy communications, and John Allison, AHA senior associate director of health analytics.
RAND 5.0 – The Health Policy Equivalent of Groundhog Day
The RAND Corporation recently released the fifth iteration of its biannual hospital price report. The AHA highlights the significant flaws in this latest iteration.
CMS releases tool to validate price transparency file compliance
CMS March 28 released an updated online validator tool that hospitals can use to test price transparency machine-readable files against the new format and data specifications going into effect on July 1, 2024, and Jan. 1, 2025.
Agencies to reopen comment period for No Surprises Act IDR rule
The departments of Health and Human Services, Labor and the Treasury will reopen the public comment period for their proposed rule to improve the No Surprises Act independent dispute resolution process for 14 days beginning Jan. 22 to provide additional time for interested parties to comment.
Analysis: 91% of hospitals posting machine-readable price transparency data
At least 91% of hospitals had posted a machine-readable file containing rate information by the end of 2023, according to a new analysis by Turquoise Health.
CMS finalizes changes to No Surprises Act administrative and IDR fees
The departments of Health and Human Services, Labor and the Treasury Dec. 18 released a final rule that increases the administrative fee for disputes initiated under the No Surprises Act independent dispute resolution process from $50 to $115 per party per dispute.
CMS extends No Surprises Act timeline to select IDR entity through Jan. 16
The departments of Health and Human Services, Labor and the Treasury will give health care providers and insurers initiating a payment dispute through Jan. 16 under the No Surprises Act’s Independent Dispute Resolution process 10 business days to select a certified IDR entity after initiating the dispute, the Centers for Medicare & Medicaid Services announced Nov 29.
CMS releases IDR batching FAQs, reschedules webinar to Nov. 30
In response to recent court decisions that set aside certain regulations implementing the No Surprises Act’s Independent Dispute Resolution process, the Centers for Medicare & Medicaid Services Nov. 28 released FAQs explaining how certified IDR entities may determine whether a dispute is appropriately batched and clarifying certain other provisions and its policy for extending existing IDR deadlines once the federal IDR portal reopens to all batched disputes and single disputes involving air ambulance services.
CMS releases proposed rule to improve No Surprises Act IDR process
The departments of Health and Human Services, Labor and the Treasury issued a proposed rule intended to improve how the No Surprises Act independent dispute resolution process functions in response to feedback and challenges shared by stakeholders.
AHA opposes proposed fee increases for No Surprises Act IDR process
Commenting Oct. 26 on a Health and Human Services, Labor and the Treasury proposed rule that would increase the administrative fee and certified entities fee under the No Surprises Act’s independent dispute resolution process, AHA said it supports the proposal to use the Administrative Procedure Act process to establish the fees, but opposes the proposed fee increases and using an inflationary adjustment for future increases.