Becker's Healthcare November 23, 2021
HHS Secretary Xavier Becerra is defending CMS’ proposed surprise-billing rule, bashed by several medical groups as an unfair gift to health insurers, according to Kaiser Health News.
The rule, released in two parts on Sept. 30 and July 2, represents the Biden administration’s plan to enforce and implement the No Surprises Act, which shields patients against unexpected, out-of-network medical bills.
Under the surprise-billing rule, patients must be removed from the middle of the billing dispute. Instead, providers and insurers are required to work out how much the provider or hospital should be paid for the service. The process calls for providers and insurers to first enter a 30-day “open negotiation” period. If no agreement is reached, either party may initiate...
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