Good Faith Estimate Toolkit
In the last five years, a series of legislative efforts at the state and federal level have been directed to price transparency and disclosure of costs in health care. Colorado has been at the forefront of enacting such legislation. In 2017, Colorado enacted the Transparency in Health Care Prices Act,1 requiring all health care providers to make public certain health care pricing. In 2019, Colorado passed legislation governing Out-of-Network Health Care Services to Covered Persons protecting Colorado patients from surprise out-of-network medical bills for emergency visits and non-emergency visits that involve unintentional receipt of out-of-network services.2
At the federal level, Hospital3 and Insurer Price Transparency Rules4 were enacted in 2021. Additionally, the No Surprises Act passed as a part of the Consolidated Appropriations Act of 2021 and became effective as of January 1, 2022.5 Although many provisions of the No Surprises Act apply only to facility-based providers (e.g. hospitals, surgery centers, freestanding emergency facilities), specific portions of the law, apply to all health care providers. Although specific requirements of such laws are subject to challenge, many requirements have been upheld.
The Colorado and federal legislation seek to ensure that patients are informed about health care costs in advance and do not receive health care bills that exceed their expectations. These laws impact all health care offices in some way, since minimum requirements include questions of patients, written notices, posters, website additions, and related paperwork. In short, the more transparent health care providers are up front and in writing, about pricing, the better. Read More>>>