BC Advantage - 2024 Issue 9

CMS Report Highlights Complaints and Enforcement Actions Under the No Surprises Act

Recently, the Centers for Medicare and Medicaid Services (CMS) released a report detailing complaints and enforcement actions related to the Public Health Service Act, which encompasses the No Surprises Act.   As of June 30, CMS had received over 16,073 complaints. Of these, 12,077 were specifically related to the No Surprises Act. The breakdown includes 1,777 complaints against insurers and 10,300 against hospitals, other healthcare providers, and air ambulance services.   The CMS Complaints Data and Enforcement Report indicates that 12,700 complaints have been resolved. As part of its enforcement process, CMS has directed...

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