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- October 8, 2020 - The Walmart Edition
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[Article] Bipartisan Surprise Billing Legislation Gets Conditional Support from AHA
(HealthLeaders Media, December 14, 2020)
"House and Senate leaders announced that an agreement had been reached on the ‘No Surprises Act,’ which establishes a mediation framework for providers and payers to resolve payment disputes. The bill holds hospitals responsible for physician claims, even if the physician is not employed at the hospital, however, hospitals would not be privy to the proprietary billing rates of providers and payers."
[Article] 7 mistakes hospitals make when converting an HOPD to an ASC
(Becker's Hospital Review, December 15, 2020)
"A survey of senior healthcare executives on ASC joint ventures reveals that as consumer- and payer-driven trends favor ASCs, hospitals are recognizing they need at least one ASC in their portfolio to accommodate patients and payers looking for a lower acuity, less expensive site for outpatient surgery. On the surface, this may seem like an easy approach, yet it rife with risk if those involved in the project do not understand or fully appreciate the dynamics of such a conversion. Even small oversights have the potential to derail a project or cause the new surgery center to underperform."
