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Surprise Billing and Price Transparency Group

Surprise Billing and Price Transparency Group

What Providers Need to Know about the No Surprises Act Interim Final Rules Issued on July 1, 2021

Listen to our government and commercial reimbursement thought leaders on the regulations issued by CMS on July 1, 2021, regarding the implementation of the new federal No Surprises Act.

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Meet Mark Polston

Former CMS Chief Litigation Counsel, Mark represents hospital systems in Medicare and Medicaid reimbursement and regulatory matters. He was recognized as a Law360 2019 Healthcare MVP for challenging several Medicare reimbursement policies, resulting in significant financial impact to providers.

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Meet Jim Boswell

Jim Boswell is the co-head of King & Spalding’s national healthcare team and has litigated and spoken extensively on out-of-network provider payment.

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Meet Joel McElvain

As an Assistant Branch Director in the Department’s Federal Programs Branch, Joel supervised the defense of the Department of Health and Human Services in cases challenging agency programs under the Medicare and Medicaid statutes, the Affordable Care Act, and other statutes.

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Meet Chris Kenny

Clients rely on Chris’s experience in counseling on hospital operations and major transactions affected by reimbursement concerns, in major payment litigation against the Medicare program and in arbitrations against commercial payers, and in government audits and investigations.

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Meet Amanda Hayes-Kibreab

Amanda has extensive experience managing large multi-party, multi-million dollar disputes, litigating business contract and tort disputes, prosecuting and defending actions brought by large healthcare payers against hospital providers and providing advice on healthcare law and reform topics.

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Meet John Barnes

John Barnes has extensive experience in structuring strategic managed healthcare arrangements and advises clients in the development of compliant policies.

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Meet Glenn Solomon

Glenn Solomon, who focuses on commercial and government managed care, brings broad health industry experience dealing with health plans on behalf of providers.

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The New Frontier in Managed Care: An Overview of the Newly Passed Federal Surprise Billing Legislation

Listen to our managed care thought leaders discuss the No Surprises Act.

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Surprise Billing Legislation

Learn more for the latest information on Surprise Billing.

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A Review of the Practical and Legal Challenges Posed by CMS’s New Hospital Price Transparency Rule

Listen to King & Spalding’s roundtable on the requirements and implications of CMS’s Final Rule on Price Transparency of Hospital Standard Charges.

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