Podcast

Summary

In this episode of the Change Healthcare Podcast, our panelists reflect on payers’ responses to our recent No Surprises Act survey.

We recently asked payers across the country about the No Surprises Act. What do they think about it? How are they preparing for it? How do they feel it will affect their business? In this inaugural episode of our government mandates theme — which we plan to record quarterly, or as critical updates become available — our panelists reflect on payers’ survey responses.

Today's panel includes: Ed Hafner, AVP Payer Strategy, Change Healthcare; and Ferris Taylor, Executive Director, HealthCare Executive Group (HCEG).

One of the cooler aspects of the Change Healthcare podcast is that it introduces our industry's inquiring minds to transformative ideas and the people behind them -- people who are strongly associated with those ideas (SMEs) or are driving them forward (change agents).

Here’s what they chatted about:

  • What did Ferris and Ed feel were the biggest takeaways from the survey?
  • Which survey responses caught the panelists by surprise?
  • How can payers ensure they’re prepared to handle the downstream effects of the No Surprises Act?
  • How has COVID-19 changed the discussion surrounding the No Surprises Act?
  • What complexities can payers anticipate regarding new AEOB requirements?
  • How will the No Surprises Act affect medical coding processes?
  • Why should payers attempt to view compliance measures in terms of customer convenience?
  • What advice do the panelists have for payers who want to be early adopters or over-achievers?

Episode resources:

  1. Ed Hafner’s LinkedIn profile
  2. Ferris Taylor’s LinkedIn profile
  3. No Suprises Act Survey Results [PPT]
  4. No Surprises Act Survey Results Perspective [PDF]
  5. HCEG Top 10 and The Industry Pulse
  6. No Surprises Act—CMS
  7. HHS Report Press Release from November 22, 2021

Key takeaways

  • The No Surprises Act will accelerate the need for coordination and cooperation across departments
  • Payers are running out of time to decide on AEOB delivery options
  • Payers need to anticipate AEOB workflows, starting with receiving AEOB benefits via portal or EDI

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