The No Surprises Act looks to fill gaps in existing state laws protecting consumers from surprise medical bills, including in areas where other federal laws preempt state actions. For example, the Employee Retirement Income Security Act of 1974 (ERISA) bans states from adopting surprise-...
many of which are being used as models for Congressional efforts. State laws are limited, however, because they do not cover patients with employer provided insurance plans, which are covered by federal law.
STAT reportson why “U.S. health care cybersecurity laws are better at protecting a corpse’s privacy than patients’ lives.” Fierce Healthcare reportson embattled Steward Health Care agreeing to sell its physicians network to a private equity-owned group. ...
The issue that has been hardest for states to resolve, Hoadley said, is devising a formula for out-of-network prices or a process for resolving disputes. Some states with balance billing laws have been unable to settle on a system that satisfies both insurance carriers ...
"These price declines show that state surprise billing laws both directly lower out-of-network prices and indirectly lower in-network prices, providing evidence that surprise billing legislation may have changed provider-payer negotiating dynamics," noted La Forgia. Currently, the interim final rule ...
The Trump administration and Democrats and Republicans alike in Congress have targeted surprise billing as an area ripe for change. State legislatures have also taken up the cause. For Chartock, one of the key takeaways of the study was that it shows how the anticipation of surprisemedical bill...