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Consumer Reports: Ambulance bills excluded from No Surprises Act

Consumer Reports: Ambulance bills excluded from No Surprises Act
Surprise medical bills are nothing new, but Congress has finally taken action to help. There s just one problem â the legislation doesn t cover everything, including ambulance rides to the hospital.
and last updated 2021-04-19 10:21:44-04
(WTVF/CONSUMER REPORTS) â Surprise medical bills are nothing new, but Congress has finally taken action to help. There s just one problem â the legislation doesn t cover everything, including ambulance rides to the hospital.
In an emergency, ambulances can mean the difference between life and death. But they can also end up costing you hundreds, if not thousands of dollars. ....

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Surprise Medical Bills and Ground Ambulances - Consumer Reports

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Your Ambulance Ride Could Still Leave You With a Surprise Medical Bill
The No Surprises Act protects consumers from many unexpected charges, but not those for ground ambulances. Here s what you need to know.
By Donna Rosato ....

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Congress Enacts Legislation to End Surprise Medical Billing

The “No Surprises” Act: Congress Enacts Legislation to End Surprise Medical Billing in Omnibus Year-End Spending Bill
Wednesday, February 24, 2021
The recently-enacted Consolidated Appropriations Act, 2021 includes the long-debated “No Surprises” Act (the “Act”), which addresses how providers are paid for certain out-of-network health care services, and removes patients from the middle of out-of-network reimbursement disputes. The Act comprehensively addresses all types of commercial health plans by amending the Public Health Service Act (“PHSA”), the Employee Retirement Income Security Act of 1974 (“ERISA”), the Internal Revenue Code (“IRC”), and Federal Employees Health Benefits Program (“FEHBP”), each with substantially similar companion provisions. These provisions, summarized in brief below, will be effective January 1, 2022. Agency rules are expected to start rolling out in July 2021. ....

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Arbitration Provisions of the No Surprises Act

Thursday, February 11, 2021
On 28 December 2020, the federal No Surprises Act (Act)
1 was enacted. The Act seeks to protect patients from so-called “surprise medical bills” in certain emergency and nonemergency settings for out-of-network patients. This alert focuses on the Act’s arbitration provisions but first provides necessary background to those provisions.
Key takeaways include:
The Act, and its arbitration provisions, include both emergent and nonemergent care in certain out-of-network contexts. See Parts I and II.
The Act requires payors to treat out-of-network patients as though they are in-network for purposes of: prior authorizations, coverage limits, cost sharing obligations, and out-of-pocket maximums. See Part III. ....

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