In the Community: No-Surprise Bills

The New York State Legislature recently enacted a consumer protection law against surprise medical bills. The Emergency Medical Services and Surprise Bills law requires physicians, ambulatory practices and hospitals to:

  • notify patients about which health plans they participate in; and
  • share the names and contact information for all providers to be involved in the patient’s scheduled care, including those who are out-of-network.

For scheduled services that are out-of-network, the new law requires providers to disclose a patient cost estimate prior to providing nonemergency care. For emergency care, patients are required to pay only their in-network cost, regardless of whether the participating providers are enrolled in the patients’ health plan.

“North Shore-LIJ has a longstanding history of transparency with patients to minimize the occurrence of surprise medical bills,” said Mark Solazzo, executive vice president and chief operating officer. “The introduction of this new law requires physicians, ambulatory practices and hospitals to refine certain processes and patient materials to ensure full compliance.” For more details, see the Consumers Union summary at bit.ly/1ySKZPS.

North Shore-LIJ offers online tools like an out-of-pocket expense calculator, the FollowMyHealth patient portal, Web payments and more at bit.ly/manageME.

 

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