Early Insights on Independent Dispute Resolution Under No Surprises Act

R1 Regulatory Affairs & Regulatory Compliance TeamSeptember 23, 2022

On August 19, 2022, the Departments of Health and Human Services (“HHS”), Labor, and the Treasury (“the Departments”) issued a Federal Independent Dispute Resolution Process Status Update.1 In the statement, the Departments reported that between April 15th and August 11th, 2022, providers initiated ...

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How Entri Pay Disrupts the Patient Payment Model

Nikolaus TrottaSeptember 21, 2022

The unprecedented challenges health systems face today are well publicized – from rising costs to scarce labor to shrinking margins – each of which is compounded by the ever-increasing portion of revenue that falls under patient responsibility. Patients can’t keep up. Even insured patients now represent

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Hospital Price Transparency in 2022: Lessons Learned, Best Practices

Ogi Kwon, JD, MHAAugust 18, 2022

Federal price transparency requirements for hospitals from the Centers for Medicare & Medicaid Services (CMS) provide patients with an unprecedented amount of insight into the costs for medical services.1  

 

In theory, more pricing information should ...

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Sentara Execs Share Insights for Strong Patient Financial Engagement

Will ReillyAugust 10, 2022

The financial environment for health systems and their patients keeps getting tougher.Cascading effects of the pandemic have led toa looming recession, severe labor shortages, rising ...

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Action Needed: Why Medical Debt Should Concern Health Organizations

R1 Regulatory TeamJune 22, 2022

In the United States, an estimated 43 million Americans hold a total of $88 billion in medical debt on their credit reports. Patients often incur these expenses unexpectedly, leading to high rates of bankruptcy. Healthcare organizations are now facing increased scrutiny over patient billing and collection practices.

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Hospital Access Management: Physicians, Patients Rarely Discuss Cost

Hospital Access ManagementFebruary 3, 2021

Physicians order tests, prescribe drugs, give referrals to specialists, and recommend surgery — almost always without ever addressing how much all of it costs.

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