Trump's federal layoffs put No Surprises Act enforcement at risk
Read Article: Modern Healthcare
Article Summary: The recent federal layoffs at the Center for Consumer Information and Insurance Oversight (CCIIO), which oversees the No Surprises Act, pose a risk to healthcare organizations. These layoffs may delay critical rule implementation and disrupt the independent dispute resolution (IDR) process for out-of-network billing disputes. The inefficiencies in dispute resolution could increase operational costs and compliance burdens for healthcare providers and insurers.
The Risks:
No Surprises Act Compliance and Operational Efficiency Risks: The CCIIO layoffs could delay the implementation of new rules for the No Surprises Act, leading to challenges in maintaining compliance with the act’s requirements and creating a backlog of out-of-network billing disputes. This will put a strain on healthcare organizations' billing and administrative operations, increasing the risk of inefficiencies and compliance failures.(Area: Regulatory) (Category: Federal Regulations)
Financial Risk from Dispute Delays: The delay in the dispute resolution process could lead to extended billing disputes, creating cash flow problems for healthcare organizations as claims are unresolved or delayed. (Area: Revenue and Reimbursement) (Category: Reimbursement)