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Health, Treasury & Labor Agencies No Surprises Act Interim Final Rule with Comment


Tuesday, July 6, 2021
SUMMARY
On July 1, 2021, the US Departments of Health and Human Services (HHS), Treasury and Labor, and the Office of Personnel Management issued an Interim Final Rule with comment (IFR) implementing portions of the No Surprises Act, legislation enacted in December 2020 that bars surprise billing beginning January 1, 2022.
Under the law, payers and providers (including hospitals, facilities, individual practitioners and air ambulance providers) are prohibited from billing patients more than in-network cost-sharing amounts in certain circumstances. The prohibition applies to both emergency care and certain non-emergency situations where patients do not have the ability to choose an in-network provider.
The law establishes a pathway for resolving payer-provider payment disputes using negotiation and arbitration. If entities are unable to come to an agreement, the independent dispute resolution (IDR) process requires each party to sub ....

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Washington Health Alliance recognized nationally for work on trust - State of Reform


Washington Health Alliance recognized nationally for work on trust
Sydney Kurle | May 24, 2021
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Friday, the Washington Health Alliance (WHA) was recognized as a leader in collaborating with organizations across health care by the ABIM Foundation.
The Alliance’s Quality Improvement Committee (QIC) is one of several organizations recognized by ABIM Foundation in its new effort, Building Trust, created to enhance medical professionalism and improve patient care.
 
 
Nancy Giunto, executive director of WHA, said:
“The Alliance is honored to receive this recognition from this well-respected foundation. Trust and collaboration are critical components of the Alliance’s mission and our efforts to improve Washington’s health care system and the Alliance’s QIC plays a vital role.” ....

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