Fierce Health Payers September 8, 2021
Both providers and payers have major concerns with how regulations to ban surprise medical bills will be implemented next year, with providers concerned about added burden and insurers clamoring for more time.
Providers believe that new requirements for notices of impending out-of-network charges and estimates on costs could provide a major administrative burden, according to comments on a regulation that outlines the protections. Payers, meanwhile, say they will need more time to implement parts of the rule and want a safe harbor from any inadvertent penalties.
Top insurance industry lobbying group AHIP said in comments that it has “significant concerns about whether the health plans have sufficient lead time and regulatory clarity to implement and operationalize many of the non-consumer...