Closing in on one year since implementation of the No Surprises Act (NSA), many emergency medicine groups are facing an uncertain future. Insurers are slashing out-of-network reimbursement and putting existing network participation agreements at risk. In addition, providers face a steep learning curve in complying with new billing and transparency requirements. For ApolloMD, the NSA and related patient protections are aligned with long-standing company policies intended to foster patient satisfaction and strong relationships with our hospital partners and their communities.
For years, ApolloMD has pursued a strategy of participating with any insurance plan willing to pay fair and reasonable rates for the care provided by our clinicians. We recognize the importance of stable and reliable reimbursement and have proactively moved toward establishing the in-network relationships to support that balance. This approach also helps to ensure a smooth billing experience for everyone – especially our patients and hospital partners.
“At ApolloMD our commitment to an exceptional patient experience transcends bedside care,” emphasizes Dr. Mike Dolister, CEO of ApolloMD. “Along with our hospital partners, we are committed to ensuring pricing transparency which ultimately enhances timely access to care and improved outcomes.”
Ultimately, the NSA is one more step toward a patient-focused healthcare system. It is intended to protect patients from unforeseen financial burdens, and to empower them as consumers. ApolloMD upholds that intention, focusing attention on the full continuum of patient satisfaction. Our performance-based culture also factors into our model and drives repeated excellence in patient care. The performance-based structure gives providers and hospital administrators a vantage point for achieving high quality.
“As the President of ApolloMD, and a physician, I understand the impact of value-based care and what that means to our providers,” says Dr. Yogin Patel. “From a unique physician and APC-operated structure to best practice care models to continued education and leadership development, we invest in our caregivers. Our clinicians partner with hospital administrators to understand the key drivers that help achieve the highest quality outcomes. We recognize that no two hospitals are identical and use a customized approach based on proven business models, advanced technology, and clinical expertise. Our providers are incentivized to meet the clinical goals and performance metrics most important to each hospital.”
The No Surprises Act is a work in progress but already making strides on the pathway of curtailing the surprise billing that often confounds patients. To be sure, providers still face many challenges and unintended consequences of the NSA, with many insurers using the law and and correlating regulations to impede providers. ApolloMD partners can rest easy knowing that our long-standing network relationships and patient-focused billing process allow for cohesive implementation of any NSA guidelines.