No Surprises Act Toolkit
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Presentation: No Surprises Act and Price Transparency Ruling Peer Group Call: May 2023
HealthSparq presents on the road to transparency in coverage, with a focus on solutions for meeting provider directory and accuracy requirements, at the May 2023 meeting of the No Surprises Act and Price Transparency Ruling Peer Group.
Recording: No Surprises Act and Price Transparency Ruling Peer Group Call: - January 2023
Alliance peers engage in lively discussion surrounding the No Surprises Act and Price Transparency Ruling. Members talk the January 1 launch of their cost estimator tools, challenges and successes using vendors and building their own solutions, and member experience design surrounding their cost estimator rollouts.
No Surprises Act Final Rule Overview
ClearHealth provides for its clients, periodic overviews and reactions to industry regulations. Based on the recent Final Rule, we present this document to discuss the most pertinent items found in the NSA Final Rule. To discuss or if you have questions, please contact Brian Wroblewski (EVP of Sales) at 414-899-4100.
Presentation: No Surprises Case Study
Lisa Kuhl of Medical Associates Health Plans shares how her plan is approaching the requirements of NSA and price transparency. Shared at the NSA Workshop Fly-In in Dallas, TX.
Presentation: Workshop Immersion #1
Updated September 14, 2022. Cognizant shares their solutions related to price comparison tools, cost estimation, and machine readable files postings. This was shared at the NSA Workshop Fly-In in Dallas, TX.
Recording: No Surprises Act and Price Transparency Ruling Peer Group July 2022
Health Plan Alliance members discuss challenges and present solutions related to the No Surprises Act.
Healthcare Policy Brief: January 20, 2022
Future of Build Back Better Act (BBBA), Vaccine Mandates, and Testing
Healthcare Policy Unpacked: Episode 12
In this episode, Chris Condeluci and Dennis Bolin discuss recent vaccine mandates, the Build Back Better Act, ACA exchanges, and the new surprise billing requirements of 2022.
Healthcare Policy Unpacked: Episode 11
In this episode, Chris Condeluci and Dennis Bolin discuss recent vaccine mandates, the Build Back Better Act, new prescription drug proposals, and what's in store for the year ahead.
Healthcare Policy Brief: December 06, 2021
Summary, legislative update - soft infrastructure package, no surprises act (NSA) Update
Presentation: Critical Compliance - Meeting Transparency Requirements
Experts from Zelis and Sapphire Digital, now a part of Zelis, share their insights and guidance in understanding the new transparency regulations outlined in the No Surprises Act and Transparency in Coverage Rule and what to do to become compliant.
Recording: Critical Compliance - Meeting Transparency Requirements
Experts from Zelis and Sapphire Digital, now a part of Zelis, share their insights and guidance in understanding the new transparency regulations outlined in the No Surprises Act and Transparency in Coverage Rule and what to do to become compliant.
Healthcare Policy Unpacked: Episode 10
In this episode, Chris Condeluci discusses the Soft Infrastructure Package, its impact on the individual market and the exchange, implementing the federally-developed arbitration process, and the vaccine mandate.
Healthcare Policy Brief: November 10, 2021
Legislative update - soft infrastructure package, healthcare policy update - three-year extension of enhanced premium subsidies, employer update, surprise medical billing update.
Recording: No Surprises Act and Price Transparency Ruling Peer Group - October 2021
Monthly discussion around the No Surprises Act and Price Transparency Ruling.
Healthcare Policy Brief: October 21, 2021
Is it a $3.5 trillion, $1.5 trillion, $1.9 trillion, or $2.3 trillion reconciliation bill?, federally developed arbitration / IDR process.
Healthcare Policy Unpacked: Episode 9
In this episode, Chris Condeluci breaks down the NSA arbitration process, including a timeline, steps, responsibilities, and the arbiter's role as defined by the new surprise medical billing requirements.
Healthcare Policy Unpacked: Episode 8
On this podcast, Chris Condeluci gets us up to speed on what the Administration was busy working on during the August recess. Dennis and Chris discuss recently provided timelines and several important provisions in the No Surprises Act that haven't received as much attention.
Understanding the Federal FAQs Relating to Compliance
On Friday, August 20, the Federal Departments issued a series of Frequently Asked Questions (FAQs) focused on the implementation of the regulatory requirements under the Transparency in Coverage Rule (released in October 2020) and various provisions of the No Surprises Act (enacted on December 27, 2020). SpringStreet Exchange provides a summary of the Federal Department's announcements and discussions in the FAQs.
Q&A: Guidance for Implementing the No Surprises Act
The NSA is complex, and information around its implementation is coming out at different intervals. Hopefully this guidance is both useful and grounding.
No Surprises Act and Price Transparency Q&A: Experts weigh in
Subject matter experts on the No Surprises Act and Price Transparency ruling answer the questions that were posted into chat during our August 12 event.
No Surprises Act, Transparency in Coverage Guidance Provides Enforcement Relief
From HHS and the Treasury Department, August 20, 2021 Frequently Asked Questions (FAQs) regarding implementation of certain provisions of the Affordable Care Act (ACA) and certain provisions of title I (the No Surprises Act) and title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (the CAA).
Payer-to-Payer Interoperability: What Do the CMS Rules Require?
Change Healthcare provides a handy fact sheet explaining CMS requirements for Payer-to-Payer Interoperability.
Recording: Policy Forum: Q&A with Chris Condeluci
Chris Condeluci, JD, LLM of SpringStreet Exchange discusses the latest updates on federal health policy and answers your questions.
Recording: No Surprises Act Expert Panel: CMS Updates, Questions Answered, Solutions Discussed
A candid (and timely) conversation about the No Surprises Act and Price Transparency Ruling. The Alliance-assembled experts share what they know and how they know it! Panel members representing Change Healthcare, ClearHealth, Cognizant, HealthSparq and Zelis help guide health plans in making the right decisions for meeting requirements under a tight deadline.
2021 Preparing for the No Surprises Act
Understanding new government regulations for Surprise Bills and Emergency Claims. Shared at the No Surprises Act Expert Panel on August 2021.
Price Transparency Mandate Checklist
A guide with key deadlines and a checklist of compliance and transparency in coverage mandates to help members achieve less stress and improve the member experience.
White Paper: Understanding the Transparency in Coverage Mandate
The final rules provide a jumping-off point for health plans to drive satisfaction, trust and ultimately greater market share.
Solutions Innovation for No Surprises Act & Transparency In Coverage Compliance
The No Surprises Act and Transparency in Coverage rules have wide ranging implications to the care ecosystem. Beyond compliance, we see this legislation as an opportunity to innovate and improve the way we pay for care.
Surprise Medical Billing FAQ
Chris Condeluci, JD, LLM, President, CC Law & Policy and Spring Street Exchange provides answers to the most pressing questions surrounding the Surprise Medical Billing.
Healthcare Policy Unpacked: Episode 6
This month, the No Surprises Act conversation continues as Chris Condeluci, JD, LLM breaks down surprise billing regulations and the federal roadmap provided to health plans. Dennis Bolin and Chris discuss the Advanced Explanation of Benefits (AEOB) requirements, what information plans will be expected to send participants, and briefly touch on Federal Laws vs. State Laws and when each may apply.
Article: The 'No Surprises Act' and Provider Data Validation
There are some key provisions of the No Surprises Act going into effect in January 2022 related to provider data accuracy and validation that all payers should be aware of. Animas Data Solutions breaks down these provisions for health plan members.
Don’t Be Surprised By the No Surprises Act
Are you confident that on January 1 you will be prepared to comply with new federal regulations regarding surprise bills and emergency claims? ClearHealth can help you stay compliant and optimize savings.
Recording: No Surprise Act and Price Transparency: Will you be ready?
Health plans come together to learn about and discuss the No Surprises Act legislation and transparency provisions that go into effect on January 1, 2022. Zelis walks plans through the impact on payers, plans, and members and what is needed for compliance success.
Presentation: No Surprises Act and Price Transparency: Will You Be Ready?
Health plans come together to learn about and discuss the No Surprises Act legislation and transparency provisions that go into effect on January 1, 2022. Zelis walks plans through the impact on payers, plans, and members and what is needed for compliance success.
Healthcare Policy Unpacked: Episode 5
The reconciliation process continues to come up in the news again and again. Chris Condeluci, JD, LLM breaks down what you need to know about the reconciliation process given the context of recent events as well as looking forward. Then Dennis Bolin and Chris unpack whether or not Health Care Reform will happen in 2021, President Biden's Budget Blueprint and the No Surprises Act transparency provision.
Healthcare Policy Unpacked: Episode 4
We are now past the first major milestone of the Biden Administration – the first 100 days. There has been a flurry of legislation, broad in scope, that does not seem to be letting up. In this episode, Dennis and Chris pick up where they left off on the No Surprises Act – a hot topic in Washington, D.C. as we lead up to the Interim Final Rule's release around July 1. Dennis and Chris unpack the Surprise Billing requirements, No Surprises Act Disclosure of Broker and Consultant Compensations (the new 408(b)(2) rules), and President Biden's proposed Infrastructure and American Families Plans.
Presentation: Transparency and the Consumer Experience
Health plans come together to explore price transparency and what it means for their organization. Discussion is led by MediGold Health Plan. Change Healthcare provides a market and legislative overview, including what the rule means, and covers solution considerations and opportunities to improve the consumer experience. Then we open things up for discussion -- where plans exchange ideas and approaches and ask their most pressing questions.
Recording: Transparency Approaches and the Consumer Experience
Health plans come together to explore price transparency and what it means for their organization. Discussion is led by MediGold Health Plan. Change Healthcare provides a market and legislative overview, including what the rule means, and covers solution considerations and opportunities to improve the consumer experience. Then we open things up for discussion -- where plans exchange ideas and approaches and ask their most pressing questions.
Healthcare Policy Brief: April 14, 2021
Will we see multiple reconciliation bills?, a wild card scenario explored; multiple reconciliation bills, now what?, surprise medical billing update and preemption, the Advanced Explanation of Benefits (AEOB).
Healthcare Policy Unpacked: Episode 3
The first set of regulations implementing portions of the No Surprises Act should be released on July 1 with a January 2022 effective date. The regulations will focus on how health plans should identify the in-network median rate for a particular medical item or service in a geographic area, including what the geographic areas will be. Chris Condeluci walks through the new surprise medical billing payment process, what the impact is on states that already enacted a surprise billing law, and the provisions included in the No Surprises Act that are not necessarily tied to the surprise billing payment requirements.
Healthcare Policy Brief: March 25, 2021
An update on the Biden Administration, ACA Exchange, healthcare policy and prescription drug reforms.
Presentation: Surprise Balance Bills in the COVID-19 Era
Zelis covers reimbursement provisions on COVID-19 claims that were included in two Coronavirus aid packages signed into law in March. But loopholes in the law and confusion about coverage have led to surprise medical bills that are hundreds or even thousands of dollars.
Recording: Surprise Balance Bills in the COVID-19 Era
During the video presentation, attendees will learn how you can help protect clients and members from surprise bills on COVID-19 claims
Webinar On Demand: Surprise Balance Bills in the COVID-19 Era
Legislative and cost management experts as they discuss recent congressional proposals and actions, COVID-19 claims trends, and how to protect clients and members from surprise bills.