Where we’re going

May is Mental Health Awareness Month. The National Alliance on Mental Illness (NAMI) reports that in 2020 one in five U.S. adults experienced a mental illness, one in fifteen experienced both a substance use disorder and mental illness, and one in twenty experienced a serious mental illness. The COVID pandemic has increased mental health issues … Continued

Part 2 of Adopting a “Pure” Reference-Based Pricing Strategy The No Surprises Act (NSA) covers all participants in employer-sponsored health plans. It’s goal is to protect participants from surprise medical bills for charges in excess of negotiated rates with network providers. The NSA applies to emergency services as well as care received from out-of-network providers at … Continued

aequum is mindful that government agencies adopt regulations that may extend the reach of or may conflict with the original text of the legislation. This update provides an overview and recent legal challenges to a portion of the law. According to research by the Kaiser Family Foundation and others, about 1 in 5 emergency department … Continued

Consumers do not have control over their medical costs or the billing process and they don’t like it.  According to a study conducted by Cedar (a financial technology platform): 31% of consumers are not satisfied with the coordination between their healthcare provider and payer; 40% are not satisfied with provider billing; 93% of consumers say … Continued