Tag: surprise balance billing

CHIR Interactive Map Highlights New Details on No Surprises Act Enforcement

Posted by

The No Surprises Act (NSA) went into effect this year, providing new protections against surprise medical bills for patients who receive unanticipated out-of-network care. CHIR has analyzed state NSA implementation and enforcement schemes and published an interactive map for the Commonwealth Fund, providing details about policies such as state enforcement strategies and patient-provider dispute resolution. In the newest iteration of the map, CHIR added updates on state payment determination mechanisms and protections against surprise ground ambulance bills.

November Research Roundup: What We’re Reading

Posted by

For November’s monthly roundup of new health policy research, CHIR’s Emma Walsh-Alker reviewed studies about insurer participation in the Affordable Care Act marketplaces, how private equity ownership of air ambulances impacts surprise bills, and how pending legislation to fill the Medicaid “coverage gap” could affect hospital finances.

The No Surprises Act Interim Final Rule on Dispute Resolution, Uninsured Protections, and External Review: Implications for States

Posted by

Last month, the Biden administration published a third rule implementing the No Surprises Act, the comprehensive federal law banning balance bills in emergency and certain non-emergency settings beginning January 1, 2022. The interim final rule (IFR) provides details on the independent dispute resolution process, protections for uninsured patients, and more. In a new Expert Perspective for the Robert Wood Johnson Foundation’s State Health & Value Strategies program, CHIR experts provide a summary of the IFR, identifying implications and considerations for states.

June Research Roundup: What We’re Reading

Posted by

For June’s monthly roundup of health policy research, Nia Gooding reviewed studies on ground ambulance rides and surprise medical bills, the ways health plan pricing mechanisms affect health disparities, and the impact of using auto-enrollment to achieve universal coverage.

Banning Surprise Bills: Biden Administration Issues First Rule On The No Surprises Act

Posted by

When Congress enacted the “No Surprises Act” last year to ban unexpected out-of-network medical bills, it was left to the Biden administration to implement these historic consumer protections. CHIR’s Katie Keith, Jack Hoadley, and Kevin Lucia provide a detailed summary of the first round of federal rules flowing from this new law in their latest post for the Health Affairs blog.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.