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No Surprises Act and Price Transparency: Will You Be Ready?

Event Date: 6/17/2021

Event Overview

Thursday, 6/17/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Zelis

The No Surprises Act, signed into law on December 27, 2020, prohibits balance billing members for certain out-of-network services. The Act includes a reimbursement settlement and arbitration process with strict timelines and expands the transparency requirements established by the Transparency in Coverage rules, finalized in October 2020.
 
Most sections of the legislation go into effect on January 1, 2022. The No Surprises Act is good news for patients, but many healthcare payers wonder whether they can ensure alignment and implement solutions by the effective date. Get important insights from legislative and cost management experts on:

 

  • An overview of the No Surprises Act reimbursement, settlement, and arbitration process
  • Transparency provisions
  • The legislation’s potential impact on payers, plans, and members
  • What payers need to know now

Audience

Those responsible for compliance and legal matters, technology solutions, and member experience will find this session beneficial. Those in strategic planning, operations, and vendor management roles should also attend.


 

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Documents
6/17/2021

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.

6/17/2021

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.

Attendees

Below is a list of all delegates registered to date for this event

  • Trisha Adams
  • ALLIANCE MEMBER
  • Director, Member Services at Physicians Health Plan
  • Melissa Anderson
  • ALLIANCE MEMBER
  • Director Provider Operations at Network Health
  • Robyn Anderson
  • ALLIANCE MEMBER
  • Delegation Oversight Auditor at Health Alliance Plan (HAP)
  • Mark Athey
  • ALLIANCE MEMBER
  • Project Manager at Health Alliance Medical Plans
  • Matthew Aug
  • ALLIANCE MEMBER
  • President at Cox HealthPlans
  • Ann Bain
  • ALLIANCE MEMBER
  • Compliance Coordinator & Privacy Officer at Avera Health Plans
  • Nicole Beadle
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Paramount Health Care
  • Kristie Breunig
  • ALLIANCE MEMBER
  • Vice President, General Counsel and Secretary at Quartz Health Solutions
  • Walter Briggs
  • ALLIANCE MEMBER
  • Director of Implementation at Physicians Health Plan
  • Suzanne Brown
  • ALLIANCE MEMBER
  • Director, State Regulatory Coordinator at Baylor Scott & White Health Plan
  • Karen Brunton
  • ALLIANCE MEMBER
  • Project Manager at Medical Associates Health Plans
  • Lisa Carlson
  • ALLIANCE MEMBER
  • Vice President, Operations at Avera Health Plans
  • Martha Cisneros
  • ALLIANCE MEMBER
  • Director, Member Outreach & Engagement at Valley Health Plan
  • Meagan Close
  • ALLIANCE MEMBER
  • Director, Provider Partnerships at Health Alliance Medical Plans
  • Xuan Cung
  • ALLIANCE MEMBER
  • VHP Division Director of Pharmacy Services at Valley Health Plan
  • Sherri Doebel
  • ALLIANCE MEMBER
  • Key Account Manager at Physicians Health Plan
  • Jeremy Fejfar
  • ALLIANCE MEMBER
  • Pharmacy Director Government Programs at Quartz Health Solutions
  • Phyllis Fisher
  • ALLIANCE MEMBER
  • VP, Operations at Physicians Health Plan
  • Michelle Folk
  • ALLIANCE MEMBER
  • Broker Relationship Manager, Commercial Sales at Geisinger Health Plan
  • Bethanne Goodsell
  • ALLIANCE MEMBER
  • Senior Coding Specialist at Quartz Health Solutions
  • Stacy Grein
  • ALLIANCE MEMBER
  • Compliance Specialist at Denver Health Medical Plan
  • Michelle Hack
  • ALLIANCE MEMBER
  • Senior Director of Configuration at Geisinger Health Plan
  • Erica Hain
  • ALLIANCE MEMBER
  • Senior Director, Commercial Sales at Geisinger Health Plan
  • Kaitlyn Hammond
  • ALLIANCE MEMBER
  • Director of Government Programs at Cox HealthPlans
  • Christine Harder
  • ALLIANCE MEMBER
  • Senior Vice President, Provider Network Management at Health Alliance Plan (HAP)
  • Kyle Hayden
  • ALLIANCE MEMBER
  • Management Analyst at Valley Health Plan
  • Jeff Hayes
  • ALLIANCE MEMBER
  • Manager Compliance, Medicare at Presbyterian Health Plan
  • Neil Heller
  • ALLIANCE MEMBER
  • Consultant at Piedmont Community Health Plan
  • Elizabeth Heying
  • ALLIANCE MEMBER
  • Counsel & Compliance Manager at Medical Associates Health Plans
  • Gina Higley
  • ALLIANCE MEMBER
  • Contracting at Providence Health Plan
  • Sandy Hopkins
  • ALLIANCE MEMBER
  • Director, Member/Provider Services at Cox HealthPlans
  • Bess Jacobo
  • ALLIANCE MEMBER
  • Provider Contracting Director at Providence Health Plan
  • Kathryn Johnson
  • ALLIANCE MEMBER
  • Legal and Vendor Manager at Network Health
  • Tracy Jones
  • ALLIANCE MEMBER
  • Chief Compliance Officer at SummaCare
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Jeff King
  • ALLIANCE MEMBER
  • Director, Pricing and Audit at PreferredOne
  • Patrick Koltz
  • ALLIANCE MEMBER
  • Chief Operations Officer at Prominence Health Plan
  • Tina Korty
  • ALLIANCE MEMBER
  • Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans
  • Gretchen Lagassee
  • ALLIANCE MEMBER
  • Manager, Claims Operations at Community Health Options
  • Jenny Lau
  • ALLIANCE MEMBER
  • Project Manager at Western Health Advantage
  • Cynthia Major
  • ALLIANCE MEMBER
  • Director, Claims at Cox HealthPlans
  • Bess Ann Mckillop
  • ALLIANCE MEMBER
  • Product Development Supervisor at Physicians Health Plan
  • Wendy Miller
  • ALLIANCE MEMBER
  • Sr. RA Coding Specialist at Network Health
  • Regina Monthony
  • ALLIANCE MEMBER
  • Director, Digital Marketing & User Experience at Capital District Physicians' Health Plan (CDPHP)
  • Barb Nash
  • ALLIANCE MEMBER
  • Director Client/ Provider Relations at Piedmont Community Health Plan
  • Moon Nguyen
  • ALLIANCE MEMBER
  • Program Manager, Compliance at Valley Health Plan
  • Gary Parker
  • ALLIANCE MEMBER
  • Claim Research & Support Specialist at Community Health Options
  • Jenn Patterson
  • ALLIANCE MEMBER
  • Implementation Manager at Geisinger Health Plan
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Tracie Rader
  • ALLIANCE MEMBER
  • Director, Operations/Enrollment & Billing at Health Alliance Plan (HAP)
  • Jennifer Ramirez
  • ALLIANCE MEMBER
  • Program Manager Member Appeals & Grievances at Valley Health Plan
  • Danielle Reed
  • ALLIANCE MEMBER
  • Systems Administration Analyst Lead at Providence Health Plan
  • Dana Renicker
  • ALLIANCE MEMBER
  • Medicare Education Specialist at SummaCare
  • Tim Riley
  • ALLIANCE MEMBER
  • Chief Information Officer at Network Health
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Martha Schuller
  • ALLIANCE MEMBER
  • Director of Configuration and Support at Providence Health Plan
  • Elizabeth Scott
  • ALLIANCE MEMBER
  • Compliance Director at Care N' Care Insurance Company, Inc.
  • Kris Shopin
  • ALLIANCE MEMBER
  • Director BPO Operations at Community Health Plan of Washington
  • Michael Stevens
  • ALLIANCE MEMBER
  • Government Affairs Coordinator at Health Alliance Medical Plans
  • Dave Stuart
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Operating Officer at Community Health Options
  • Katie Studer
  • ALLIANCE MEMBER
  • Director, Customer Experience at Avera Health Plans
  • Kaine Toomey
  • ALLIANCE MEMBER
  • Director, Program Administration at Sentara Health Plans (Optima)
  • Arase Tost
  • ALLIANCE MEMBER
  • Manager, Regulatory Integrity at Health First Health Plans
  • Jolene Trenkamp
  • ALLIANCE MEMBER
  • Compliance Specialist at Medical Associates Health Plans
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Andy Wheaton
  • ALLIANCE MEMBER
  • Manager-Pharmacy Benefits at Network Health
  • Lou Yacovoni
  • ALLIANCE MEMBER
  • Vice President Medicare & Individual Sales at Quartz Health Solutions
  • Dave Arnone
  • SPONSOR
  • Chief Revenue Officer at Clarity Software Solutions
  • Colin Hadican
  • SPONSOR
  • SVP, Business Development Health Plan Market at Zelis Healthcare, LLC
  • Kim Naramore
  • SPONSOR
  • Director of Marketing, ZNA at Zelis Healthcare, LLC
Speakers