Behavioral Health Business January 16, 2024
A law meant to protect patients from spurious hospital practices may create headaches for the behavioral health industry.
The No Surprises Act adds additional administrative burdens to provider organizations to take on without a corresponding funding measures. The law, in part, requires health care organizations to provide good faith estimates to patients who choose to pay cash, seek out-of-network care, or are uninsured.
The law also allows patients to dispute bills that substantially exceed the estimate. Separately, it protects against bills for out-of-network providers and facilities or organizations that are otherwise in-network with a patient’s plan, especially in emergency situations.
The impact of the law, which was passed through the Consolidated Appropriations Act of 2021 in December 2020, is yet...
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