Payer Model News Today

Baltimore is one of the country’s preeminent health care cities. Yet studies have shown that hospitals here as well as all Maryland hospitals have the longest wait times in their emergency departments for seven years running. The legislature has put forth HB274/SB387 to find out why. SB387 proposes creating a task force to study the ...

New legislation often starts a cat-and-mouse game between the executive branch and regulated entities related to how statutory language is implemented. While we often write about...

Tuesday, July 13, 2021 Today, the Departments of Health and Human Services (HHS), Labor, and Treasury (the Departments) published an interim final rule (the Interim Final Rule) implementing certain provisions of the No Surprises Act,[1] which aims to address balance bills on a national scale. Effective for health insurance plan years beginning January 1, 2022, the legislation limits patient payment responsibility for certain unavoidable out-of-network services, prohibits providers and...