Perspectives on Health and Tech

Keeping up with the No Surprises Act: good-faith estimates for self-pay patients


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As part of the No Surprises Act, healthcare systems must now provide comprehensive good-faith estimates for the cost of care—both from their own organization (relatively easy) and from outside providers (much harder). Listen to industry leaders Seth Katz, University Health, and Josh Mast, Oracle Health, discuss with Jodi Busch, Oracle Health, the impacts of good-faith estimates on health organizations and how to use this phase as an opportunity to streamline workflows and better prepare your teams for the next iteration of the No Surprises Act.

Featuring:

Seth Katz, Vice President of HIM and Revenue Cycle, Finance, University Health

Josh Mast, Director and Product Regulatory Strategist, Oracle Health

Jodi Busch, Senior Director of Financial Alignment Organization, Oracle Health

Hear them discuss:

  • An overview of this year's iteration of the No Surprises Act (1:16)

  • How have these changes impacted safety net hospitals/organizations? (3:36)

  • How are schedulers at hospitals/organizations handling the increased duties of working good-faith estimates? (5:05)

  • Was it difficult to gain internal buy-in from your staff for these changes? (6:57)

  • Have you had any issues sending the good-faith estimates back to patients in the allotted time? (9:39)

  • Are there penalties for non-compliance? (10:59)

  • How does the enforcement discretion potentially impact the overall process? (13:29)

  • Where are you at in terms of combining providers inside and outside of the organization? (15:06)

  • What has been the response back from patients regarding good-faith estimates? (16:10)

  • What's coming next? (17:29)

Notable quotes:

"We have to remember that we work in healthcare to help take care of people and make them better and that the No Surprises Act, price transparency, information blocking are good things for the patients." – Seth Katz

"At the end of the day, this is about trying to get patients and consumers information prior to receiving care so that they are better informed." – Josh Mast

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