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More Fairness for Reimbursement of Out-of-Network Services

More Fairness for Reimbursement of Out-of-Network Services

November 15, 2022 at 1:32 PM - healthcare law,

Recently, the Departments of Health and Human Services, Treasury and Labor (collectively, the Departments), issued Final Rules relating to the 2020 No Surprise Act (NSA), a federal law which prohibits out-of-networks providers (‘OON Providers”) from billing patients for certain out-of-network charges if the patient did not know/consent to the use of the OON Provider (as opposed to the patient selecting an in-network provider for the same product or services). Effective October 25, 2022, the Final Rules are intended to ensure a more balanced approach to negotiations between OON Providers and group health plans and health insurance issuers (“Plans”) regarding payment for out-of-network products or services.

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New California Law Requires Physicians to Notify Patients about Open Payments Database

New California Law Requires Physicians to Notify Patients about Open Payments Database

October 24, 2022 at 3:18 PM - healthcare law,

On September 29, 2022, California Governor Gavin Newsom signed into law California Assembly Bill 1278 (AB 1278) which will require physicians and their employers to provide patients with notice of the Open Payments database at the initial office visit. By adopting AB 1278, which goes into effect on January 1, 2023, California becomes the first state to impose this disclosure obligation on physicians.

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