29 December 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsHouse and Senate Announce Surprise Billing Agreement
On December 11, 2020, the House and Senate committee announced a bipartisan agreement on surprise medical billing that will establish a fair framework to resolve payment disputes between health care providers and health insurance companies. Rest of article

4 December 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsRule Finalized Forcing Payers to Post Negotiated Rates, Cost-sharing Data

The Trump administration has finalized a rule that will require private insurers to provider members with upfront prices – including real-time cost-sharing estimates – that they have negotiated with providers. The details are still being worked out, but a time table of how the rule will go into effect is outlined.
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20 November 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsHHS Reverts Reporting Requirements for Provider Relief Fund

In September, HHS updated new reporting requirements for the Provider Relief Fund that raised concern throughout the healthcare industry. After multiple discussions with the provider community and congress HHS is now amending the guidance change to eliminate the risk of letting any of the $175 billion in PRF go unused. Even though HHS is taking a step back on the requirements created in September, it is not a complete reversal.
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