In Part 2 of our 2-Part Series on Surprise Billing Legislation, host Dorothy Cociu interviews Ryan Day, President, and Collen Dempewolf, Director, Strategic Product Development, of HS Technologies, a Referenced Based Pricing Vendor, on the No Surprises Act’s impact on health plans. They discuss how plans without networks will be treated under the Act, how referenced based pricing plans are impacted, and how communication and cooperation with claims administrators will be required. They also discuss how the Qualifying Payment Amount and Independent Dispute Resolution process will work, whether RBP payment amounts to providers may need to change, and if possible “one-off” agreements, direct provider contracting and other options may be more common for RBP plans due to the Act.
