In the No Surprises Act, the Biden administration included a payment resolution method.
The Biden administration released details on the payment dispute resolution mechanisms under a legislation that prohibits surprise medical billing on Thursday.
The Departments of Health and Human Services, Labor, and Treasury, as well as the Office of Personnel Management, published an interim final rule to implement the No Surprises Act, which provides a payment dispute resolution process for people who are uninsured or self-pay.
The final regulation also contains a method to protect consumers from payment disputes between providers and health plans, as well as requirements for healthcare cost estimates for uninsured or self-pay persons and enhanced external review powers.
HHS Secretary Xavier Becerra stated, “No one should have to go bankrupt because of a sudden medical charge.” “With today’s rule, we’re carrying out President [Joe] Biden’s Competition Executive Order by fostering price transparency and exposing inflated health-care costs,” the White House said. Our mission is straightforward: to provide Americans with a better bargain through a more competitive health-care system.”
The No Surprises Act, which was signed into law last December, prohibits hospitals from charging consumers for out-of-network care without warning.
The administration has already enacted two previous rules relating to the law, one earlier this month to assist in the collection of data on the air ambulance provider industry and the other in July to safeguard consumers from unexpected invoicing.
The rules will all go into force on January 1, 2022.
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