No Surprises Act Toolkit

NOTE: You must login to your Alliance account to access the articles and resources below. Some content may only be accessible to Alliance members.

 

5/17/2021

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.

5/4/2021

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.

5/4/2021

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.

4/14/2021

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).

4/12/2021

April 14th First Health User Group Meeting Agenda
April 14th First Health User Group Meeting Agenda

4/12/2021

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.

3/25/2021

Healthcare Policy Brief: March 25, 2021
An update on the Biden Administration, ACA Exchange, healthcare policy and prescription drug reforms.

12/17/2020

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.

12/17/2020

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

9/22/2020

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.