The Biden administration’s first rule implementing a landmark 2020 law aimed at protecting patients against high hospital and doctor bills in emergencies and other situations will lower costs for patients, a group that represents large employers said.
But hospitals are worried the No Surprises Act’s rules won’t get at the real problem driving surprise billing—inadequate health-care networks—and they also say the law’s implementation date—Jan. 1, 2022—is too soon to get procedures into place.
The way the interim final rule (RIN 0938-AU63) for the law, published July 13, defines how the qualifying payment amount is calculated is the basis on which ...