New Regulations for IV Hydration Therapy Coming Your Way!
The market for elective intravenous (IV) hydration therapy has seen a dramatic increase in demand over the last few years. Established clinics and meds spas have begun offering the service, and an influx of free-standing retail IV bars and mobile services have popped up all over the country. But this explosive growth has gone mostly […]
We have the data! Converting Machine Readable Files to Human Readable Files!
The Trump era Transparency in Coverage (TiC) rule released in 2020 focused on insurance companies and require that insurers make machine readable files (MRFs) of negotiated in-network rates and out-of-network allowables publicly available on their websites by July 1st, 2022. Going one step further, by January 1st, 2023, plans must make cost-sharing information available for […]
Founder/CEO, Jonathan Kaplan and US Senator Bill Cassidy pen op-ed in Newsweek
The No Surprises Act, a bipartisan effort to reduce the number of surprise medical bills, went into effect on January 1. As significant as this legislation is—surprise bills are one of the biggest drivers of medical bankruptcy in America—the act is still being overlooked. This legislation remains unfamiliar to those it affects most, specifically […]
An easy way to create a Good Faith Estimate and comply with the No Surprises Act
The No Surprises Act is officially here. It went into effect on January 1st, 2022. Yes, it’s another layer of regulatory legislation that you, the provider, are required to follow. Yes, it outlaws out-of-network balance billing in all emergency situations and many non-emergency situations. But that may not be the biggest issue for most providers. […]
Don’t settle for less. What we should be striving for in healthcare price transparency
In March of 2020, during the first wave of the pandemic, it seemed unlikely that the Center for Medicare and Medicaid Services (CMS) would implement the new hospital price transparency rules as scheduled on January 1st, 2021. Considering the focus on COVID and legal attempts by the American Hospital Association to block the new rules, […]
Dr. Kaplan discusses new hospital rules on price transparency with Bill Fukui of MedShark Digital
When Bill Fukui was with Page1Solutions, he would send out an eblast about best practices for physician or healthcare websites. SEO this or SEO that, the best call-to-action buttons and other techniques to generate leads for doctors. And every time I received one of his emails, I would reply and explain how I […]
Top 10 ways hospitals are not compliant with new CMS price transparency rules
It used to be a dream. But now, it’s reality! The new CMS price transparency rules went into effect on January 1st. And while these new rules were initiated by former President Trump, the Centers for Medicare and Medicaid Services are still charged with enforcing these new rules, even under a new Administration. If you’re […]
Will a $300 per day penalty bring hospitals in line? [video]
The Trump Administration’s price transparency rules are still set to go into effect in January of 2021. While hospitals may be hoping this will be delayed due to COVID, and that may still happen, there’s no guarantee. The rules dictate that hospitals will have to display the cash and negotiated rates for 300 “shoppable” services, […]
Hospitals lose first challenge to Trump price transparency rule
We all took a step closer to price transparency in America on Tuesday! That’s when the US District Court for the District of Columbia sided with the government’s effort to promote greater price transparency amongst hospitals. At issue? A lawsuit by the American Hospital Association (AHA) against the Trump price transparency rule, originally put forth […]
Will HIPAA privacy rules be relaxed permanently?
The Health Insurance Portability and Accountability Act of 1996, better known as HIPAA, is a huge piece of legislation. While many new laws emanate from this Act, most Americans associate HIPAA with privacy and privacy alone. While the goal of “privacy” is certainly well-meaning, this bill instills so much frustration in the modern healthcare landscape. […]