Founder/CEO, Jonathan Kaplan and US Senator Bill Cassidy pen op-ed in Newsweek

newsweek

The No Surprises Act, a bipartisan effort to reduce the number of surprise medical bills, went into effect on January 1. As significant as this legislation is—surprise bills are one of the biggest drivers of medical bankruptcy in America—the act is still being overlooked.   This legislation remains unfamiliar to those it affects most, specifically […]

An easy way to create a Good Faith Estimate and comply with the No Surprises Act

no surprises act

The No Surprises Act is officially here. It went into effect on January 1st, 2022. Yes, it’s another layer of regulatory legislation that you, the provider, are required to follow. Yes, it outlaws out-of-network balance billing in all emergency situations and many non-emergency situations. But that may not be the biggest issue for most providers. […]

Top 10 ways hospitals are not compliant with new CMS price transparency rules

It used to be a dream. But now, it’s reality! The new CMS price transparency rules went into effect on January 1st. And while these new rules were initiated by former President Trump, the Centers for Medicare and Medicaid Services are still charged with enforcing these new rules, even under a new Administration.   If you’re […]

Will a $300 per day penalty bring hospitals in line? [video]

$300 per day penalty

The Trump Administration’s price transparency rules are still set to go into effect in January of 2021. While hospitals may be hoping this will be delayed due to COVID, and that may still happen, there’s no guarantee. The rules dictate that hospitals will have to display the cash and negotiated rates for 300 “shoppable” services, […]

Hospitals lose first challenge to Trump price transparency rule

We all took a step closer to price transparency in America on Tuesday! That’s when the US District Court for the District of Columbia sided with the government’s effort to promote greater price transparency amongst hospitals. At issue? A lawsuit by the American Hospital Association (AHA) against the Trump price transparency rule, originally put forth […]

Will HIPAA privacy rules be relaxed permanently?

HIPAA

The Health Insurance Portability and Accountability Act of 1996, better known as HIPAA, is a huge piece of legislation. While many new laws emanate from this Act, most Americans associate HIPAA with privacy and privacy alone. While the goal of “privacy” is certainly well-meaning, this bill instills so much frustration in the modern healthcare landscape. […]

One step closer: Price transparency in healthcare [video]

It’s official! Price transparency in healthcare is closer to reality. President Trump released new rules requiring hospitals to publish their charges and negotiated rates. You may be thinking, “oh this doesn’t affect me! It only affects hospitals and their employed physicians.” But make no mistake, this affects all physicians!     Why price transparency in healthcare […]

President Trump officially signs price transparency executive order

President Trump officially issued a price transparency Executive Order yesterday. The price transparency executive order will require hospitals, insurers and doctors to disclose their negotiated rates. This will have direct and indirect consequences.   The effect of a price transparency executive order Despite President Obama’s efforts with the “Unaffordable Care Act,” this Executive Order will actually […]