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Transparency/Surprise Billing Resource Center

Nothing written by SPBA is legal advice.

Transparency/Surprise Billing Resource Center

Articles and Materials

Plan Transparency

Official Source Documents

Transparency in Coverage Final Rule (8/6/21)
Health Coverage Transparency Proposed Rule 11-2019 (11/22/19)
HHS Report on Reforming America's Healthcare System Through Choice & Competition (8/1/19)
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First (6/25/19)
HR 1326: "Health Care Price Transparency Promotion Act of 2013" (4/2/13)

Articles and Materials

Transparency in Coverage Rules….What is it and What it Requires Part 1 (7/15/21)
Future Rollout of Federal Guidance Planned (7/7/21)
SPBA Transparency Summit - 3rd Session - Video Recording (6/15/21)
SPBA Transparency Summit - 2nd Session - Video Recording (3/29/21)
SPBA Transparency Summit - 1st Session - Video Recording (3/22/21)
SPBA Transparency Summit Slides - March 18, 2021 (3/18/21)
Administration Finalizes Transparency in Coverage Rule (11/24/20)
SPBA Comments on CMS Transparency in Coverage Proposed Rule (2/6/20)
SPBA's Comments on Transparency Submitted to HHS (6/28/18)
Media Reports on Medical $ Transparency (4/9/13)
Escape the Fire (Health Care) Trailer (3/28/13)
Sales Tool & Opportunity (2/9/12)

Surprise Billing

Articles and Materials

Federal IDR Portal Stakeholder Testing Round Table (2/25/22)
No Surprises Act – Determining Cost-Sharing and Payment Amounts to Providers (7/15/21)
SPBA Reviews the Administration's Executive Order (7/15/21)
Future Rollout of Federal Guidance Planned (7/7/21)
Administration Releases Interim Final Rule on the No Surprises Act (7/2/21)
Advanced Explanation of Benefits in the No Surprises Act (5/28/21)
SPBA Submits Comments on No Surprises Act Regulations (5/26/21)
F. New Federal No Surprises Act & Related Transparency Requirements (4/7/21)
End of Year Spending and COVID Stimulus Package: A Summary (2/4/21)
No Surprises Act - Section by Section Summary (2/4/21)

Official Source Documents

Surprise Billing Model Notice (10/18/21)
Interim Final Rule - Requirements Related to Surprise Billing; Part I (8/6/21)
No Surprises Act Bill Text (2/4/21)
No Surprises Act - First Set of New Regulations (Webinar) (7/20/21)

Hospital Transparency

SPBA Comments on CMS Hospital Transparency Proposed Rule (2/6/20)
YOUR Achievement on Hospital Price Transparency (5/8/13)

Articles and Materials

Transparency Documentary Trailer (6/5/12)
SPBA Policy Brief on Hospital Transparency (Updated version posted 4/20/12) (10/28/11)
Sharing Hospital Transparency (7/12/11)
Hospital Transparency (6/3/11)

Reference-Based Pricing

Webinar: Reference-Based Pricing (1/3/19)
North Carolina's Battle for Health Care Value (1/3/19)
How Montana cut healthcare costs with reference-based pricing (1/3/19)