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The No Surprises Act: How Payers Can Stay Compliant

HIT Consultant

Surprise billing can occur when a patient unknowingly receives care from providers that are outside their network. Unfortunately, these bills are often the result of care provided in an emergency situation or when a person is unaware treatment is being given by an out-of-network provider. . Two-thirds of U.S. What Payers Can Do.

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The 7 Ps of Marketing

Healthcare Success

In the highly saturated healthcare market—where strategic decisions directly influence business growth—the 7 Ps act as a fundamental compass, often separating amateurs from professionals. urgent care, acute care, primary care, ambulatory care, Telehealth, etc.)—especially Virtual services.

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Federal Government Announces Enforcement Discretion, Deferral For Certain Price Disclosures And Future Rulemakings

Sheppard Health Law

Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act, 2021 (CAA) received a welcome reprieve via guidance published August 20. Temporary Relief, Future Rulemakings and Guidance.

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Federal Government Announces Enforcement Discretion, Deferral For Certain Price Disclosures And Future Rulemakings

Sheppard Health Law

Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act, 2021 (CAA) received a welcome reprieve via guidance published August 20. Temporary Relief, Future Rulemakings and Guidance.

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OCR Joins Chorus of Regulators Warning About Health Data Tracking Technology

Triage Health Law

Key Takeaway : Organizations must conduct a fact-based analysis to determine whether health data collection and tracking technology deployed on their websites and mobile apps complies with the federal Health Insurance Portability and Accountability Act (“HIPAA”) and other applicable laws and guidance.

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OCR Joins Chorus of Regulators Warning About Health Data Tracking Technology

Triage Health Law

Key Takeaway : Organizations must conduct a fact-based analysis to determine whether health data collection and tracking technology deployed on their websites and mobile apps complies with the federal Health Insurance Portability and Accountability Act (“HIPAA”) and other applicable laws and guidance.

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Proposed Insurance Rules Call for Significant Changes for States and Insurance Markets

NASHP

The Affordable Care Act (ACA) requires that all qualified health plans (QHPs) include benefits that cover 10 Essential Health Benefit (EHB) categories such as emergency care and maternal coverage. Requiring evidence-based benefit design. New data reporting requirements and research permissions.