With political changes also come regulation changes. Though surprise medical billing has long been an issue, Congress recently passed HR 3630 containing the “No Surprises Act”, to remedy the problem. This latest bill applies to all group and individual health plans, with an effective date of January 2022. Among other things, this regulation requires that provider directories be updated on a regular basis, every 90 days.
The new “No Surprises Act” requires health plans to verify and update provider directory information at least every 90 days, which includes both individual providers and facilities. If you don’t have a plan to meet the requirements of the new regulation, it’s a good time to start.
The COVID-19 vaccine approvals have given health systems (and payers) a glimmer of hope that the surge of acute patient COVID-19 admissions may be ebbing. As we anticipate a sense of normalcy, the shift for payer organizations will likely be toward planning our 2021 healthcare strategies.