Healthcare News of Note: Noncompliance with new price transparency rules appears to be common
CMS's auditing of price transparency commpliance and Tennessee's Medicaid block grant program waiver getting approved are two topics in Healthcare News of Note. Also, HFMA revamps its “Voices in Healthcare Finance” podcast.
New legislation seeks to take unwelcome surprises out of patient billing
A new law called The No Surprises Act is designed to prevent healthcare consumers from getting stuck with potentially large bills after receiving out-of-network care.
Appeals court rejects hospitals’ objections to new price transparency policy
An appeals court panel rejected hospitals’ effort to halt the Jan. 1 requirement for hospitals to begin posting the rates they negotiate with health plans.
Hospitals seek reversals of Trump policies, among various requests of Biden
Hospitals are urging a range of policy changes, including halting the new price transparency rules, by the incoming Biden administration.
Election Special: As the votes are tallied, we look at what the possible outcomes mean for healthcare
As the world waits for the results of the presidential election and other key races, Rich Daly and Chad Mulvany discuss what could happen in the coming months. Also in this episode, Joe Fifer interviews 4sight Health CEO Dave Johnson about what's next for hospitals after COVID-19. This episode is sponsored by TRIMEDX.
CMS warns a common hospital price transparency approach is noncompliant with new requirements
Many hospitals are using a rate-averaging approach to meet transparency requirements, which CMS recently deemed noncompliant.
CMS plans aggressive price transparency enforcement while hospitals urge a halt to the new rules
CMS plans aggressive enforcement of the looming hospital price transparency requirements, as hospitals urge judicial and Biden administration interventions.
340B Program success depends on the quality of self-auditing
Healthcare organizations participating in the 340B Drug Pricing Program should self-audit of their compliance with the program to ensure its ongoing success and effectiveness.
Provider responses to prospective compromise on surprise billing range from concerns to opposition
Congressional healthcare committees are urging leaders to include a “compromise” on surprise medical bills in year-end legislation, but providers are worried about it.
HHS starts distribution of $24 billion more in COVID grants but rejects one-third of applicants
More than 70,000 providers will share in the latest round of Provider Relief Fund grants, which total $24.5 billion.