The latest insights on U.S. healthcare policy from MD Clarity.

The latest insights on U.S. healthcare policy from MD Clarity.

Healthcare Policy

ASP Drug Pricing in Healthcare: What Providers Need to Know in 2023

Rex H.

January 27, 2023

Learn about ASP drug pricing in healthcare and how it's been impacted by the Inflation Reduction Act.

Healthcare Policy

IDR Administrative Fees: What’s Changed in 2023

Rex H.

January 23, 2023

An increase in IDR administrative fees is in effect as of January 1, 2023. Learn why they were increased and what's been proposed to make it more balanced for providers.

Healthcare Policy

All-Payer Claims Databases and the No Surprises Act: What You Need to Know

Rex H.

January 13, 2023

Get informed on the latest about All-Payer Claims Databases (APCDs) and how they relate to the No Surprises Act. Learn how it aims to reduce healthcare costs and increase transparency for patients.

Healthcare Policy

Good Faith Estimates and Patient Medical Records: What You Must Know

Rex H.

January 4, 2023

Find out what federal regulations say about Good Faith Estimates and their relationship to patient medical records.

Healthcare Policy

Transparency in Coverage Final Rule

Rex H.

December 19, 2022

Learn how the Transparency in Coverage final rule is designed to facilitate open pricing in healthcare and what it means for patients and providers.

Healthcare Policy

Qualifying Payment Amount (QPA): A Comprehensive Guide

Rex H.

December 16, 2022

The Qualifying Payment Amount (QPA) is a critical part of billing disputes in the No Surprises Act. Learn how it's calculated and other details in our guide.

Healthcare Policy

HB22-1285: Colorado Hospital Price Transparency Law

Rex H.

December 14, 2022

Colorado's HB22-1285 law promotes price transparency. Find out what rules hospitals have to follow to avoid collection prohibitions.

Healthcare Policy

Good Faith Estimates for Insured Patients: What We Know So Far

Rex H.

December 9, 2022

Are good faith estimates required for insured patients? Learn what the status is and other regulations that apply to consumers with insurance.

Healthcare Policy

The No Surprises Act and Dental Care: Don’t Be Surprised When It Affects You

Rex H.

December 5, 2022

Does the No Surprises Act apply to dental care? Learn what regulations dentists must follow.

Healthcare Policy

No Surprises Act Enforcement: What to Expect in 2023

Rex H.

November 28, 2022

January 3, 2023

Enforcement of the No Surprises Act has been limited, but not for much longer. Learn the causes for delayed enforcement and what to expect.

Healthcare Policy

Good Faith Estimate Template No Surprises Act: FAQ & Example

Rex H.

November 21, 2022

We walk you through the official good faith estimate template and outline the requirements you need to know.

Healthcare Policy

No Surprises Act Provider Directory: Requirements for Practices & Plans

Rex H.

November 18, 2022

Learn what the provider directory is and its requirements in the No Surprises Act for providers and health plans.

Healthcare Policy

No Surprises Act Notice and Consent Form: FAQ & Walkthrough

Rex H.

November 14, 2022

Get your questions answered in our walkthrough of the No Surprises Act's notice and consent form.

Healthcare Policy

Indiana Price Transparency Laws: House Bills 1004 & 1447

Rex H.

November 9, 2022

Indiana House Bills 1004 & 1447 augment healthcare price transparency laws established in the No Surprises Act. Learn what the regulations are and how this affects providers in Indiana.

Healthcare Policy

Advanced EOB: No Surprises Act Requirements

Rex H.

November 7, 2022

The advanced EOB is a new requirement in the No Surprises Act. Learn what must be in this statement and who must get it.

Healthcare Policy

No Surprises Act Final Rule Effective October 25, 2022: New Regulations You Need To Know

Rex H.

October 21, 2022

Learn the key regulations to know in the No Surprises Act Final Rule that is in effect as of October 25, 2022.

Healthcare Policy

Good Faith Estimate Requirements in the No Surprises Act: All You Need To Know

Rex H.

October 17, 2022

Good faith estimate requirements are critical to understand to become compliant with the No Surprises Act. Learn all the key regulations to know in our guide.

Healthcare Policy

Patient-Provider Dispute Resolution (PPDR) in the No Surprises Act

Rex H.

October 12, 2022

Patient-provider dispute resolution is regulated extensively within the No Surprises Act. Learn what the rules are and how PPDR works in this full guide.

Healthcare Policy

No Surprises Act and FQHCs: Why Compliance Is Important

Rex H.

October 11, 2022

It's critical for FQHCs to comply with the No Surprises Act. Learn why it's important and how good faith estimates and other regulations help FQHCs beyond compliance.

Healthcare Policy

No Surprises Act: Independent Dispute Resolution (IDR) Process

Rex H.

October 10, 2022

A full guide to the No Surprises Act's federal independent dispute resolution (IDR) process for out-of-network charges.

Healthcare Policy

Convening Provider vs. Co-Facility in the No Surprises Act

Rex H.

September 30, 2022

Convening providers and co-facilities are treated differently under the No Surprises Act. Learn what the differences are as they pertain to Good Faith Estimates and other regulations.