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Fierce Healthcare reports:
The Trump administration has finalized a long-awaited overhaul of the system used to settle out-of-network billing disputes between insurers and providers, amid growing criticism that the process is inefficient and susceptible to gaming.
The rule finalized by the HHS and the Labor and Treasury Departments on Thursday is meant to make dispute resolution more streamlined and lower costs for participating companies, regulators said.
It’s also aimed at reducing ineligible claims for payment, which have contributed to snowballing disputes and spurred calls for reform from insurers.
“These final rules seek to maximize benefits to providers, plans, and issuers and to reduce burdens on certified IDR entities,” the departments wrote...
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