AHA today strongly urged the departments of Health and Human Services, Labor and Treasury and Office of Personnel Management to restore the independence of the independent dispute resolution process in the No Surprises Act Part 2 regulations.  
 
Hospitals and health systems are “profoundly concerned about the decision by the departments to distort the No Surprises Act IDR process in favor of plans and issuers at the expense of patients and providers,” AHA wrote. “By directing arbiters to presume that the plan’s or issuer’s median contracted rate is the appropriate out-of-network reimbursement rate and creating a significantly higher bar for consideration of other factors means that the IDR process effectively will be unavailing for providers.” 

AHA also urged the agencies to make the IDR process more efficient and flexible in the batching of claims; align the hospital price transparency rule and good faith estimate requirements; and work with stakeholders to develop transaction standards and other operational solutions to enable accurate and efficient implementation of both the surprise billing protections and good faith estimates. 
 

Related News Articles

Headline
The Senate this weekend is expected to take up the Inflation Reduction Act (H.R. 5376), the latest version of the Build Back Better Act, a roughly $700 billion…
Perspective
America’s hospitals and health systems — and the more than 6 million team members who go to work each day to help improve the health of their patients and…
Headline
The House Appropriations Committee today voted 32-24 to approve legislation that would provide $242.1 billion in funding for the departments of Labor, Health…
Headline
The Centers for Disease Control and Prevention yesterday updated its guidance to help clinicians evaluate and test patients with relevant history, signs and…
Headline
The Senate Health, Education, Labor & Pensions Committee last night voted 13-9 to advance legislation that would reauthorize Food and Drug Administration…
Headline
AHA yesterday urged the Centers for Medicare & Medicaid Services to extend enforcement discretion for the No Surprises Act regulatory requirement that…