Biden-Harris Administration Issues Proposed Rules to Promote Transparency in Air Ambulance Costs, Agent and Broker Compensation

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Biden-Harris Administration Issues Proposed Rules to Promote Transparency in Air Ambulance Costs, Agent and Broker Compensation
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HHS, w/ USDOL, USTreasury, & OPM issued a proposed rule to help address surprise billing for air ambulance services by requiring plans, issuers, & providers of these services to submit data for each claim & transport as required by the No Surprises Act.

, are announcing proposed rules that would require plans, issuers, and providers of air ambulance services to submit detailed data regarding air ambulance services specified in the reporting requirements of the No Surprises Act.

"The air ambulance industry is a highly consolidated market that often leads to surprise bills for patients," said Health and Human Services Secretary Xavier Becerra."Today's proposed rules are part of the Biden-Harris Administration's agenda to protect patients from unreasonably high costs and make health care more affordable.

The median cost for air ambulance transportation ranges from over $36,000 to $40,000. Air ambulance providers are not allowed to send surprise bills to Medicaid or Medicare patients. For patients with private insurance, however, an HHS Assistant Secretary of Planning and Evaluation report estimates that over 50 percent of air ambulance trips are out-of-network. This inherently results in surprise billing, although exactly how much of the cost is passed on to patients remains less clear.

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