In the depths of the 5,000+ word Omnibus bill was the No Surprises Act. The Act addresses surprise medical billing and requires commercial, qualified health plans (QHP), and employer-provided health insurance providers to maintain accurate provider directories. Health insurance providers must have a process and procedures in place to maintain an accurate and up-to-date online directory database by January 1, 2022.
Many of us are only starting to learn about the new provider data requirements in the No Surprises Act. We will share the cliff notes, answer the most common questions, and provide strategies for meeting the forthcoming regulations.
Former Humana Executive
Beth Bierbower is a strategic leader with more than thirty years of proven executive level experience in the health insurance industry. She is a former Segment President and a member of Humana’s Executive Management Team. She held the position of Chief Operating Officer of Humana’s Specialty Benefits division and was an Enterprise Vice President leading Humana’s Product Development and Innovation teams. Beth currently serves on the Boards of BlueSprig a provider of ABA therapy to individuals with Autism, the American Telemedicine Association and Quest Analytics.
Founder and President
Horizon Government Affairs
Joel is the President of the Council for Affordable Health Coverage and a service organization called Arlington Bridge Builders. In addition, Joel is the Executive Director of the Health Innovation Alliance, an HGA effort to expand adoption and use of health IT to improve outcomes and lower costs. He is on the Board of Directors of the Newborn Foundation and Samaritan Inns. He spent twelve years on Capitol Hill as professional staff, where he helped enact nine laws and served six years as staff on the Committee on Ways and Means, first as Professional Staff and then as Staff Director of the Health Subcommittee.
Senior Director of Commercial Products
In her role, Jennifer drives the execution of new services and service enhancements targeting commercial payors. With over 20 years of healthcare experience, Jen previously led MultiPlan’s Sales Operations department and held multiple management roles within the Sales and Account Management organization at Viant (formerly Concentra). Jen began her career in healthcare as an Account Manager with UtiliMed (now AIM Specialty Health, an Anthem Company).
SVP Network and Regulatory Strategy
Scott is a seasoned executive with deep experience across the payer, provider and regulatory space. Most recently, he served as market president for AmeriHealth Caritas New Hampshire, where he was responsible for the plan’s strategic direction, growth, and leadership. His prior experience includes working at Anthem, Inc. as a vice president of provider joint ventures and national accounts. He has also held senior roles within leading healthcare providers, directing a Medicaid health plan, and driving national health strategy for multiple Fortune 50 corporations.