Friday, February 3, 2023
  • About Us
  • Contact Us
Parliamentobserver
  • Ecology
  • Economy
  • Healthcare
  • Politics
  • Education
  • Business
  • Login
No Result
View All Result
Parliamentobserver
Home Healthcare

Comments on No Surprises Act Rulemaking: Part II

Dennis Rogers by Dennis Rogers
September 29, 2022
in Healthcare
0
Comments on No Surprises Act Rulemaking: Part II
0
SHARES
11
VIEWS
Share on FacebookShare on Twitter

By Loren Adler, Matthew Fiedler, Benedic Ippolito

Related posts

The Role of Healthcare Advertising in Shaping Economic and Political Decisions

The Role of Healthcare Advertising in Shaping Economic and Political Decisions

January 3, 2023
Mental Health in the Start-Up Scene: The Economic and Political Implications

Mental Health in the Start-Up Scene: The Economic and Political Implications

December 27, 2022

Loren Adler, Matthew Fiedler, and Benedic Ippolito offered comments on an interim final rule (IFR) issued by the Departments of Health and Human Services, Labor, and the Treasury that implements portions of the surprise billing provisions included in the No Surprises Act.

In their letter, the authors make four main comments on the IFR:

  1. The authors commend the Departments for directing independent dispute resolution (IDR) entities to begin with the presumption that the qualifying payment amount (QPA) is the appropriate out-of-network rate. They argue that this approach will help ensure that IDR decisions are consistent and predictable, thereby helping parties resolve disputes without resorting to IDR, while also ensuring that the law reduces prices inflated by the ability to surprise bill and, in turn, reduces premiums.
  2. The authors suggest improvements to Departments’ guidance regarding when IDR entities should deviate from the QPA. They suggest that the Departments instruct IDR entities to base their deviations from the QPA on the prices that would prevail in an ideal market for the relevant services, rather than the undefined concept of “the appropriate out-of-network rate.”
  3. The authors recommend that the Departments modify the IFR’s approach to administrative fees by setting different maximum fees for cases where an IDR entity was assigned by the Secretary versus when it was chosen by the parties. Additionally, the authors endorse eliminating the minimum fee in all cases.
  4. The authors offer suggestions to improve public reporting on the IDR process. They advocate for identifying the IDR entity in the data published about each IDR case and for including information about IDR entities’ previous experience and decisions on the IDR portal.

Read the full comment letter here. The authors’ comments an earlier rulemaking related to the No Surprises Act can be found here.

Disclosures: The Brookings Institution is financed through the support of a diverse array of foundations, corporations, governments, individuals, as well as an endowment. A list of donors can be found in our annual reports published online here. The findings, interpretations, and conclusions in this report are solely those of its author(s) and are not influenced by any donation.

Previous Post

TechTank Podcast Episode 33: How to build back better with telehealth

Next Post

Building a modern behavioral crisis response system: The role of federal policy

Next Post
Building a modern behavioral crisis response system: The role of federal policy

Building a modern behavioral crisis response system: The role of federal policy

RECOMMENDED NEWS

Understanding the Democrats’ drug pricing package

Understanding the Democrats’ drug pricing package

6 months ago
From now on, we should call it the Trump Court

From now on, we should call it the Trump Court

7 months ago
Misinformation is eroding the public’s confidence in democracy

Misinformation is eroding the public’s confidence in democracy

6 months ago
Black Land Ownership Following Emancipation

Black Land Ownership Following Emancipation

10 months ago

BROWSE BY CATEGORIES

  • Business
  • Ecology
  • Economy
  • Education
  • Healthcare
  • Politics

POPULAR NEWS

  • Klaus Schwab – The Most Dangerous Man in the World

    0 shares
    Share 0 Tweet 0
  • Ukraine Adopts WEF Proposals

    0 shares
    Share 0 Tweet 0
  • Dr. Robert Malone v WEF

    0 shares
    Share 0 Tweet 0
  • Trudeau’s Approval Rating Hits 12-Month Low

    0 shares
    Share 0 Tweet 0
  • Trudeau Backs Down After Banks Scream about Massive Withdrawals

    0 shares
    Share 0 Tweet 0
Parliamentobserver

We bring you latest news about ecology, economy, healthcare, politics, education, business.

Recent News

  • Starting Up: A Look at the Most Interesting Websites for Entrepreneurs and Startups
  • The Role of Healthcare Advertising in Shaping Economic and Political Decisions
  • Mental Health in the Start-Up Scene: The Economic and Political Implications

Category

  • Business
  • Ecology
  • Economy
  • Education
  • Healthcare
  • Politics

Recent News

Starting Up: A Look at the Most Interesting Websites for Entrepreneurs and Startups

Starting Up: A Look at the Most Interesting Websites for Entrepreneurs and Startups

January 18, 2023
The Role of Healthcare Advertising in Shaping Economic and Political Decisions

The Role of Healthcare Advertising in Shaping Economic and Political Decisions

January 3, 2023
  • About Us
  • Contact Us

© 2022 parliamentobserver.com Submit news release

No Result
View All Result
  • Ecology
  • Economy
  • Healthcare
  • Politics
  • Education
  • Business

© 2022 parliamentobserver.com Submit news release

Welcome Back!

Login to your account below

Forgotten Password?

Retrieve your password

Please enter your username or email address to reset your password.

Log In