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No Surprises Act Takes Effect

In 2021, we saw a push for more transparency in the delivery and pricing of healthcare. The No Surprises Act, which went into effect to start 2022, continues that trend.  It applies to individuals covered under group and individual health plans with a goal of reducing (as the name suggests) surprise medical bills for care provided by out-of-network providers.  It also provides some protection for uninsured individuals or those who choose to pay out-of-pocket for medical care by requiring providers to furnish good faith estimates. Finally, it establishes a framework for resolving disputes with healthcare providers over these "surprise bills." As always, with more regulation and increased obligations, healthcare providers will have to find a way to comply while managing increasingly limited resources.


healthcare, compliance