A Conversation with Shawn Stack of HFMA
Episode Overview:
The No Surprises Act went into effect on January 1, 2022. It protects patients from out-of-network surprise bills. Health care organizations must comply with these regulations for emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers.
In this episode of Value-Based Care Insights, Daniel J. Marino speaks to Shawn Stack of HFMA to share how health care systems can navigate the No Surprises Act.
- Price transparency initiatives originally rolled out from a perspective of providers being transparent on their actual charges
- One of the biggest drivers of higher costs is the structure of the Medicare fee schedule and reimbursement
- As the No Surprises Act and Price Transparency Act is implemented, it will be important to give feedback to legislators and CMS on policies
About The Show
From Healthcare NOW Radio, Value-Based Care Insights is a podcast that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. Hosted by Dan Marino (@DjmarinoHD), the VBCI podcast highlights recognized experts in the field and within Lumina Health Partners (@LuminaHP). Join the conversation on Twitter at #VBCInsights. This article was originally published on the Lumina Health Partners blog and is republished here with permission. For transcript, see original post.