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cost-sharing

Federal Surprise Billing Rules: The First Round Arrives

[07/26/21]

Posted on July 26, 2021 in Health Law News

Published by: Hall Render

On July 1, 2021, the Departments of Health and Human Services (“HHS”), Labor and Treasury and the Office of Personnel Management (collectively, the “Departments”) published a much anticipated interim final rule (“IFR”) implementing certain provisions of the No Surprises Act (the “Act”). While the IFR addresses some key aspects of the Act, it does... READ MORE

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Pulling Back the Curtain: Final Rule Requires Payors to Disclose Rates

[12/02/20]

Posted on December 2, 2020 in Health Law News

Published by: Hall Render

On November 12, 2020, the United States Department of Health and Human Services (“HHS”), Department of Labor and Department of the Treasury jointly published a final rule requiring health care payors to publicly disclose certain price and cost-sharing information (the “Final Rule”). The Final Rule, which HHS refers to as the “Transparency in Coverage”... READ MORE

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Affordable Health Care: Patients’ Co-Pays Waived by Charitable Pediatric Clinic

[02/12/19]

Posted on February 12, 2019 in Health Law News

Published by: Hall Render

Recently, the Department of Health and Human Services Office of Inspector General (“OIG”) issued a favorable advisory opinion, Advisory Opinion 19-01, concerning a charitable pediatric clinic (the “Clinic”)’s arrangement under which the Clinic waives cost-sharing amounts for a small percentage of TRICARE and Medicare beneficiaries not covered by a state insurance program (the “Arrangement”). After... READ MORE

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