Surprise Balance Billing
States are taking the lead to address surprise balance bills – charges for unexpected, out-of-network medical care – by enacting consumer protection laws that range from strict requirements for network service disclosures to outright bans on balance billing in certain circumstances. NASHP is tracking state efforts to mitigate surprise billing and analyze the outcomes of these measures.
Last week, Congress released a series of legislative proposals designed to respond to COVID-19’s ongoing public health and economic crises. The proposed legislation, expected to be voted on in early March, is a direct response to the Biden Administration’s American Rescue Plan and includes several provisions that could significantly impact eligibility and coverage sold through […]
For more than a decade, Rhode Island has used a unique insurance rate review approach to keep hospital costs from rising any more than inflation plus 1 percent. As states confront COVID-19 and its accompanying budget crisis, Rhode Island’s approach that allows regulators to oversee hospital costs and requires insurers to invest in the state’s […]
What does the tool do? The tool uses publicly available Medicare cost reports (MCRs), which hospitals submit annually to the federal government, to calculate the costs incurred for providing hospital services, as well as its payer mix and more. It answers key questions, including:
The “No Surprises Act,” the most comprehensive federal legislation enacted to date designed to prohibit surprise medical bills, is part of the recently enacted Consolidated Appropriations Act of 2021.
Though largely preventable, tooth decay (caries) is the most common chronic disease in US children, affecting approximately 23 percent of children ages 2 to 5., Texas’s First Dental Home and its enhanced bundled payment has increased access to preventive dental service and improved the oral health of Medicaid-enrolled children ages 6 to 35 months. Providing […]
Inequities in dental care are prevalent across the United States, with significant disparities based on age, race, ethnicity, and socioeconomic status. Economic factors, such as ability to pay for dental insurance, and social factors such as food insecurity and access to nutritious food options also play a large role in oral health outcomes. In Michigan, […]
The adoption and use of telehealth have exploded across states, spurred by the COVID-19 pandemic, the need for social distancing, and swift federal and state action to enable how telehealth is delivered and covered by insurers. These changes will have a lasting impact on how health care is delivered, affecting payers, medical providers, and patients […]
As COVID-19 continues to wreak havoc across the country and daily case counts exceed 150,000, many states are working to confront long-standing racial and ethnic disparities that the pandemic is laying bare. While states are taking immediate action to address the health and economic consequences of the pandemic and preparing to distribute vaccines, their new […]
Nonprofit hospitals can be important partners for states in promoting community health, especially through their community benefit investments. Montana’s Legislative Audit Division recently completed a report that calculated the total tax exemptions and community benefit spending by its 47 nonprofit hospitals and found they had no real impact on the health of Montanans.