The updated CMS regulations on prior authorization have been lauded as a significant step toward reducing administrative burdens for physicians. However, critics argue that the changes fall short of addressing the broader issues. Accelerating Prior Authorization and Enhancing Transparency Issued in January, these regulations mandate federally regulated health plans to enhance electronic health information exchange […]
Passed in 2020, the No Surprises Act aims to shield patients from surprise medical bills. This law became effective in 2022 and established new regulations to protect consumers. While some aspects are still under development (as of 2024), understanding the key points of the No Surprises Act can empower you to make informed decisions about […]
As a result of their hospital stays that exceeded three days – all of which were outpatient Part B stays – a group of Medicare beneficiaries filed a class action lawsuit in 2010 to recover their costs from stays in skilled nursing facilities (SNFs) for rehabilitation following an illness. It was probably the height of […]