Groom principal Ryan Temme was featured in the PLANADVISER article, “EBSA Publishes Regulatory Update on Health Facility Fees, Provider Networks,” and the PLANSPONSOR article, “FAQ Clarifies Status of In-Network Providers, Facility Fees,” where he analyzed the FAQ covering the No Surprises Act and the Transparency in Coverage Final Rules released by the Departments of Labor, Treasury, and Health and Human Services.

According to PLANADVISER and PLANSPONSOR, Temme clarified that “certain “single case agreements” probably would not ‘be pulled into the FAQ.’”

The outlets reported that Ryan explained that “if a plan participant is treated by an out-of-network provider, that provider can collect the uninsured balance from the participant, known as ‘balance billing.’”

 “According to Temme, balance billing was one of the key motivations for the No Surprises Act in the first place, because it enabled providers to pass large, and often unexpected, costs on to the participant. He describes the FAQ’s clarifications as ‘commonsense,’”said PLANADVISER and PLANSPONSOR.

To read the PLANADVISER article, click here.

To read the PLANSPONSOR article, click here.


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