March 15, 2022 – Whether fueled by the COVID-19 pandemic or by prior discussions and discomforts in the healthcare insurance and health benefits industry, 2022 is a year of important regulatory acts hitting health plans and consumer-driven health (CDH) administrators in a strategic way. In a similar fashion, healthcare providers, particularly out-of-network providers, are bracing for an era defined by price transparency rules and an end to surprise billing practices, which is not a comfortable or easy change.

This Impact Brief provides information about recent regulations of the No Surprises Act (NSA), Transparency in Coverage Act, and other regulations that affect healthcare payers, providers, and health benefit accounts administrators. This report is also of interest for healthcare payer roles tasked with claims processing, reimbursement, payment integrity, settlement, and dispute resolution roles.

Clients of Aite-Novarica Group’s Healthcare Payments service can download this 13-page Impact Brief. To learn more about the topic covered in this Impact Brief, please contact us at [email protected].

This report mentions AccuReg, Cincom, Doxim, Experian Health, GoodRX, Healthcare Bluebook, HealthSparq, Optum, TALON, and Waystar.