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Frequently Asked Questions Part 60 Under the Affordable Care Act Issued | Jackson Walker

As employers work toward annual enrollment and new service contracts for their health plans, it is key to remember one of the changes to enhance disclosure to individuals contained in. ....

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Initially Aggressive on Deadlines, NSA Rollout Becomes Measured

If the NSA-implementing agencies could plot out and publish their plan for adopting standards, publishing regulations, and setting new compliance dates for the NSA AEOB and provider directory requirements, it would help tremendously to level set on expectations and help organizations budget and plan for actual implementation. ....

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[Webinar] No Surprises Act Update: The Latest Litigation, Enforcement and Implementation Challenges - February 16th, 3:00 pm - 4:00 pm ET | Manatt, Phelps & Phillips, LLP

The No Surprises Act (NSA), which went into effect January 1, 2022, was designed to protect patients from surprise medical bills when they are treated in out-of-network emergency. ....

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The No Surprises Act and 'Good Faith Estimate': What Is It and When Is It Required

For patients that are uninsured or not using their insurance and choosing to pay out of pocket, providers are required to give a patient an estimate of all reasonably expected costs ahead of time, referred to as the Good Faith Estimate (GFE). ....

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Payers harnessing data to get ready for Transparency in Coverage requirements

One of the most important components of the No Surprises Act is the Transparency in Coverage rule, the requirements of which have been rolling out throughout the year – requiring health insurers and group health plans, including self-funded clients, to provide cost-sharing data to consumers via machine readable files and consumer price transparency tools. Already, payers are ....

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