No Surprises Act Implementation: Immediate Challenges for Payers and Providers
The federal No Surprises Act (NSA), which went into effect January 1, 2022, protects patients from surprise medical bills for emergency services and for when they are treated by out-of-network providers in an in-network facility in certain circumstances. The NSA also sets a methodology that will be used to determine out-of-network enrollee cost sharing and provider reimbursement in those situations—at least when state law does not determine those amounts.
Because most states already have some form of patient protections for surprise medical bills, the NSA creates a complex landscape of state and federal law interactions. As we move forward with implementation, fully understanding state and federal guidance—and the interactions between them—will be imperative for ensuring that providers’ billing practices and plans’ processing practices are compliant. In a new webinar, Manatt provides guidance on successfully navigating the complexities and challenges that the NSA introduces. Key topics include:
Consequences of ongoing litigation on the federal independent dispute resolution process for payer-provider reimbursement disputes
State and federal enforcement approaches and priorities
Key operational implementation challenges for payers and providers
Recent and upcoming regulatory guidance
Speakers:
Michael Kolber, Partner, Manatt Health Harvey Rochman, Partner, Manatt Health Steve Chiu, Partner, Manatt Health
Date and Time:
Wednesday, March 30 1:00 – 2:00 p.m. ET