The No Surprises Act (NSA) came with many new requirements for payers and providers. Some of those provisions have implications for how payers and providers share data. The Act requires providers to share advance cost estimates and estimated out-of-pocket costs for specific services with patients. Payers and their provider partners also need to make sure they have accurate provider directories so that patients aren’t “surprised” when they receive a bill for an out-of-network provider they thought was in network.
In this discussion, Lynda Rowe, Sr. Advisor Value-based Markets at InterSystems and Vanessa Candelora, Sr. Consultant at Point-of-Care Partners speak about challenges with and solutions for managing your disparate data to meet the requirements of this new rule. You will hear how the HL7 Da Vinci project is tackling some aspects of the NSA and will get an overview on how to strategically manage your data, not only within your own organization but also as you share that information with your partners.
• Lynda Rowe, Sr. Advisor Value-based Markets, InterSystems
• Vanessa Candelora, Sr. Consultant, Point-of-Care Partners