First Facilities Fined for Non-compliance with Hospital Transparency Rule The Centers for Medicare and Medicaid Services (CMS) has issued fines to two hospitals in the Northside health system in Atlanta for not following the hospital transparency rule. Northside Hospital Atlanta, and Northside Hospital Cherokee were fined a combined $1.1 million dollars for failing to release […]

Third-party Benefits Administrators (TPA) Market to Increase by $514.98 Billion The rise in health insurance claims in 2020 due to Covid, and the need for digital solutions have led to an increase in the need for third-party benefits administrators. According to a report by Allied Market Research, the insurance third-party benefits administrator market generated $280.69 […]

Health Care Coverage News SPBA Comments to Transparency Coverage Rule The Society of Professional Benefits Administrators has issued comments to CMS regarding the proposed transparency rule and some concerns SPBA has about how the rule will affect third-party administrators. Some of the issues raised in the comments include the cost of compliance. Some of the […]