Understanding Good Faith Estimates Under Consolidated Appropriations Act, 2021
Introduction The healthcare landscape is undergoing significant changes, particularly with implementation of Consolidated Appropriations Act, 2021 (CAA 2021), which includes No Surprises Act (NSA). One of pivotal elements of this legislation is introduction of Good Faith Estimates (GFEs) for uninsured or self-pay individuals. These estimates aim to enhance transparency in healthcare pricing, enabling patients to […]
Overview of Early Outcomes under No Surprises Act Arbitration Process
Overview of Early Outcomes under No Surprises Act Arbitration Process Background The No Surprises Act (NSA), enacted in 2022, aims to protect patients from unexpected medical bills, particularly for out-of-network services. It establishes independent dispute resolution (IDR) process to resolve payment disputes between insurers and healthcare providers. This process is intended to ensure fair payment […]