Pulse

Published for ACA healthcare collection agencies to provide current industry information for healthcare providers

December 2024 - Vol. 40 No. 12

  • CMS Report Highlights Complaints and Enforcement Efforts Under No Surprises Act
  • Medical Billing Errors and Insurance Denials Widespread in Health Care Sector
  • CFPB Delays Medical Debt Advisory Opinion Effective Date to Jan. 2
  • Rising Health Care Costs Leave Nearly Half of Americans Struggling

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November 2024 - Vol. 40 No. 11

  • BianLian Group Targets Boston Children’s Health Physicians in Recent Cyberattack
  • CFPB Advisory Guidance on Medical Debt Collection to Take Effect Dec. 3
  • Health Care Leaders Face Challenges in Patient Collections and Staff Training

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October 2024 - Vol. 40 No. 10

  • Minnesota Debt Fairness Act Requirements in Effect
  • Ransomware Threats Rise in Health Care
  • M&A Activity Slows Down in Q2 2024 But Features Significant Transactions

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September 2024 - Vol. 40 No. 9

  • Report Breaks Down Medical Debt Burden on Americans
  • ACA’s Comments to CFPB Backed by Research on Impacts of Proposed FCRA Rule The comments drive
  • Survey Reveals Widespread Medical Billing Errors and Coverage Denials Among Insured Americans

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August 2024 - Vol. 40 No. 8

  • Ransomware’s Impact on Health Care and Strategies for Defense
  • Webinar Available: Healthcare Reporting Rule: What You Need to Know
  • Significant Disparities in Hospital Prices Found Between Private Payers and Medicare

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July 2024 - Vol. 40 No. 7

  • Your Input is Needed on Implications of CFPB Medical Debt Credit Reporting Proposal
  • U.S. Health Care Spending Surges to Nearly $4.8 Trillion in 2023
  • ACA Sponsors Webinar on CFPB’s Proposed FCRA Rule for HFMA Members
  • Health Spending in the U.S. Rebounds to Pre-Pandemic Growth Rates in 2022

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June 2024 - Vol. 40 No. 6

  • Medicare Funds Projected to Run Out by 2036
  • CMS Proposes Bundling Payment Model to Lower Medicare Spending
  • Study Reveals Private Payers Spend Significantly More on Hospital Services Compared to Medicare

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May 2024 - Vol. 40 No. 5

  • FTC Finalizes Updates to Health Breach Notification Rule
  • Consumer Frustration Mounts Over Health Care Payments
  • HHS Implements New Dispute Resolution Process for 340B Drug Pricing Program
  • Hospital Merger & Acquisition Activity Hits Q1 High in 2024

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April 2024 - Vol. 40 No. 4

  • HFMA Criticizes Patient Rights Advocate’s Price Transparency Compliance Report
  • What’s Next for the No Surprises Act?
  • Senate Members Urge CFPB to Act on Medical Debt Rulemaking Proposals
  • Study Links Medical Debt to Poor Health Outcomes and Increased Mortality Rates

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March 2024 - Vol. 40 No. 3

  • Financial Distress Drives Surge in 2023 Health Care M&A Activity
  • Minnesota Legislature Introduces Debt Fairness Act
  • Pennsylvania Considers Medical Debt Relief in Budget Proposal
  • Hospital Margins Show January Dip, But Financial Stability Prevails

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February 2024 - Vol. 40 No. 2

  • Demand for Health Care Price Transparency Grows
  • CFPB Report on FDCPA Continues to Apply Broad Strokes to Medical Debt Collection Issues
  • Inpatient COVID-19 Treatment Costs Surge in Last Two Years

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January 2024 - Vol. 40 No. 1

  • Health Care Spending Reaches $4.5 Trillion
  • Hospitals Increasingly Embracing Revenue Cycle Automation
  • Wide Disparities in Hospital Prices Exposed

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December 2023 - Vol. 39 No. 12

  • Share Your Opinion on Medical Debt Credit Reporting Changes
  • Regulatory Oversight in Health Care Hinders Patient Care
  • Surge in Insurance Claim Denials Hits Hospitals’ Finances

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November 2023 - Vol. 39 No. 11

  • Researchers Raise Red Flags About Government Overpayments to MA Plans
  • Patient Data Breaches Double in 2023
  • Health Care M&A Activity Rebounds in Q3 2023

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October 2023 - Vol. 39 No. 10

  • How the Government Shutdown Would Affect Vital Health Care Programs
  • Why 1 in 3 Health Care Workers Plan to Leave
  • Hospital Outpatient Departments Pricier Than Doctor’s Offices

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September 2023 - Vol. 39 No. 9

  • Health Care, Finance Industries Embrace Real-Time Payments
  • The Surprising Reality of Medical Debt Among Middle-Class Americans
  • Hospital Price Transparency Compliance Lags Two Years After Rule Introduced
  • Rural Americans Struggle with Health Care Costs

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August 2023 - Vol. 39 No. 8

  • Biden Administration Takes Sweeping Actions to Lower Health Care Costsand Protect Consumers
  • Hospital M&A Activity Surges in Q2 2023, Reaching Pre-Pandemic Levels
  • Medical Debt Disproportionately Affects People of Color and Low-Income Residents in New York

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July 2023 - Vol. 39 No. 7

  • Health Care Spending Expected to Reach $7.2 Trillion by 2031
  • Consumers Report Unified Health Care Platform Will Improve Patient Experience
  • New York Assembly Passes Medical Debt Credit Reporting Bill
  • Health Care M&A Remains Strong in Q1 2023

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June 2023 - Vol. 39 No. 6

  • Meeting of the Minds on Health Care Collections
  • Biden-Harris Administration Announces Proposal to Advance Prescription Drug Transparency
  • Hospital Revenue Growth Outpaced Rising Expenses in March

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May 2023 - Vol. 39 No. 5

  • The Importance of Communication Consent Language
  • Building Advocacy Partnerships in Health Care
  • Financial Challenges Continue as Hospital Expenses Rise

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April 2023 - Vol. 39 No. 4

  • Past-Due Medical Debt Impacting Americans
  • From the Web: ‘How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them’
  • Colorado Legislation on Medical Debt Advances
  • Americans Living Under the Poverty Line Facing Unpaid Medical Debt

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March 2023 - Vol. 39 No. 3

  • Next Round of Medical Debt Credit Reporting Changes on the Horizon
  • Consumers Frustrated with Health Care Billing and Lack of Processes for Correcting Errors
  • Payments Processed on ACH Network Soared in 2022
  • Medical Billing Errors Cost Consumers Time and Money

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February 2023 - Vol. 39 No. 2

  • Gallup Poll Finds More Americans Than Ever Putting Off Medical Care Due to Cost
  • CFPB Signals Fair Credit Reporting Act Rulemaking
  • Nacha Urges Health Care Providers to Use ACH Network
  • 65% of Beneficiaries Uninsured After Medicaid Disenrollment

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January 2023 - Vol. 39 No. 1

  • National Health Care Spending Grows 2.7% as COVID-19 Relief Runs Dry
  • Study Finds 93% of Employees Satisfied with Employer-Sponsored Health Insurance
  • FCC Opens Portal for Private Entities to Report Illegal Robocalls
  • Americans Value Health Insurance as the Most Important Employer Benefit

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December 2022 - Vol. 38 No. 12

  • Fewer Patients Have Usual Source of Care
  • No Surprises Act Prevented 9 Million Unexpected Bills Since January
  • New York Governor Signs Medical Debt Bill
  • Number of Americans Who Have Usual Source of Care Plummets

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November 2022 - Vol. 38 No. 11

  • Consumer Groups Call for CFPB Rulemaking on Medical Debt Credit Reporting
  • Court Finds Reg F Does Not Require Debt Collectors to Use Model Validation Notice
  • Health Care M&A Activity Dips in Third Quarter

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October 2022 - Vol. 38 No. 10

  • CFPB’s Latest Circular on Nursing Home Bills Hits Federal Register
  • CMS Releases FAQs for No Surprises Act Implementation
  • Inflation and Labor Costs Will Increase Health Care Spending by $370B
  • Inflation and Labor Costs in Health Care

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September 2022 - Vol. 38 No. 9

  • Biden Administration Issues Final Surprise Billing Rules and FAQs
  • Maryland’s Health Services Cost Review Commission Proposes Regulation for Hospital Payment Guidelines
  • Next CFPB Virtual Field Hearing Focuses on Nursing Home Debt Collection Practices
  • COVID-19 Pandemic Sparked Increase in Out-of-Pocket Health Care Spending

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August 2022 - Vol. 38 No. 8

  • Has the CFPB Missed the Mark on Medical Debt Credit Reporting?
  • Ninth Circuit Appeals Court Sets Oral Argument in Nevada Medical Debt Law Case
  • Health Care M&A Activity at a Record High

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July 2022 - Vol. 38 No. 7

  • Top-Ranked Hospitals Lack Full Compliance with Price Transparency Rule
  • First Wave of Medical Debt Credit Reporting Changes Underway
  • Trends in Medical Debt During the COVID-19 Pandemic

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June 2022 - Vol. 38 No. 6

  • HHS Seeks Clarity on Government Calls from FCC
  • Private Payers Pay 224% More for Hospital Services Than Medicare
  • Hospital Groups Urge HHS to Expand COVID-19 Public Health Emergency

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May 2022 - Vol. 38 No. 5

  • Measuring the Impact of the Government’s Focus on Medical Debt and Credit Reporting
  • Younger Americans Face More Medical Debt
  • HHS to Revoke Health Care Worker ‘Conscience’ Rule

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April 2022 - Vol. 38 No. 4

  • Credit Reporting Agencies to Remove Most Medical Debt From Credit Reports Effective July 1st
  • Primary Care Physician Turnover Generated $979M in Excess Health Care Spending
  • Certain States, Practice Areas Impacted by Increasing Medical Liability Insurance Premiums

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March 2022 - Vol. 38 No. 3

  • Hospital Payment Guidelines Under Review by Maryland Stakeholder Working Group
  • Large Hospital Mergers Altering the Health Care Landscape
  • ACH Network Payment Volume Grew 6.1% During the Fourth Quarter of 2021

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February 2022 - Vol. 38 No. 2

  • Agency-Client Engagement Under New Federal Regulations
  • Most Americans Facing Medical Debt Owe Over $2,000
  • Health Care M&A Transactions Continue to Drop

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January 2022 - Vol. 38 No. 1

  • Managing Digital Identities in Health Care is Vital
  • Hiring Concerns Top of Mind for Third-Party Debt Collectors
  • Serious Financial Problems on the Rise in U.S. Despite Pandemic Relief Funds

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December 2021 - Vol. 37 No. 12

  • Jump-Start Your Advocacy Strategy for 2022
  • M&A Report Shows Regional Partnerships Drive Third-Quarter Revenue
  • Average Family Insurance Premiums On the Rise in 2021
  • Your Guide to the Reg F Model Validation Notice

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November 2021 - Vol. 37 No. 11

  • Quick tips on how to protect client and consumer data
  • Third in a Series of Interim Final Rules Seeks to Implement No Surprises Act
  • Report Shows an Increase in M&A Regional Partnerships in the Last Quarter

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October 2021 - Vol. 37 No. 10

  • Perpetual Motion – HIPPA turned 25 in August
  • Health Care Bankruptcy Filings Drop in Ongoing COVID-19 Pandemic
  • Pros and Cons of OPPS Proposed Rule

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September 2021 - Vol. 37 No. 9

  • CFPB Finalizes Nov. 30 Effective Date for Reg F: Health Care Collection Trends to Watch
  • Health Coverage Options at Small Businesses Remain Stable Throughout Pandemic
  • Commonwealth Fund Survey Shows Increase in National Medical Debt
  • Post-Pandemic Medical Debt in the U.S.

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August 2021 - Vol. 37 No. 8

  • HHS Issues Interim Final Rule on Surprise Medical Bills
  • Ask the Compliance Officer: What’s the Deal with the FCC’s Order on Automated Calls?
  • FCC Adopts Order for Reporting Unlawful Robocalls
  • Balance Billing Protections by State

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July 2021 - Vol. 37 No. 7

  • CFPB Issues FAQ on Electronic Fund Transfer Error Resolution
  • ACA Cast: Checks and Balances on Federal Medical Debt Collection Legislation
  • Workplace Planning: Updated Guidance on Federal Equal Employment Opportunity Laws Released
  • Maryland Advances Medical Debt Law

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June 2021 - Vol. 37 No. 6

  • ACA-Supported Case in 8th Circuit Clarifies Debt Collectors’ Role in Providing 501(r) Financial Assistance Policies
  • Communications and Protected Health Information
  • Survey Shows Trends in Medical Bills Causing Debt

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May 2021 - Vol. 37 No. 5

  • Record retention requirements under Regulation F.
  • CFPB Rescinds Additional Policy Statements on Credit Reporting and Supervisory Communications
  • NACHA Announces New Electronic Payments Rule
  • Third-Party Collection Tradelines

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April 2021 - Vol. 37 No. 4

  • Talking Points: Successful Consumer Communications Strike the Right Balance Between Care and Collecting
  • New Surprise Medical Bills Law to Take Effect Jan. 1, 2022
  • The Possible Benefits to Removing the Firewall to Affordable Care Act Marketplaces

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March 2021 - Vol. 37 No. 3

  • How to get ready for the CFPB’s rule for the debt collection industry.
  • Uncompensated Care Continues an Upward Trend
  • Key Takeaways from HFMA Survey

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February 2021 - Vol. 37 No. 2

  • Consistency is Key with Medical Debts
  • FCC Proceeds with Best Practices of Hospital Robocall Protection Group
  • Pulling Credit Reports: What’s Permissible?

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January 2021 - Vol. 37 No. 1

  • Idaho Legislation on Medical Debt Extraordinary Collection Actions is in Effect
  • Health and Human Services Proposes HIPAA Privacy Rule Changes
  • CMS Floats Changes to Health Care Data Exchange in New Rules

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December 2020 - Vol. 36 No. 12

  • Spotlight on Price Transparency
  • Impacts of COVID-19 Pandemic Cause Increase in Health Care Consumerism
  • Younger Generations Fuel Health Care Consumerism

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November 2020 - Vol. 36 No. 11

  • Executive Order Includes Health Care Data Request Impacting ARM Industry
  • Snapshot: Best Practices for Patient-Friendly Billing
  • Survey: Health Care Cost Burdens in Employer Plans Remain ‘High’

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October 2020 - Vol. 36 No. 10

  • Hospitals Receiving CARES Money Banned from Surprise Billing on COVID-19 Cases
  • Physician Practice Patterns Changing As a Result of COVID-19
  • Two of Five People with Jobs Affected by the Coronavirus Pandemic Also Are Experiencing Health Insurance Insecurity

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September 2020 - Vol. 36 No. 9

  • If you’re using caller ID blocking, you should be aware of potential compliance concerns that may arise under federal case law
  • FCC Holds Inaugural Hospital Robocall Protection Group Meeting
  • Transforming Payment Structures for the Health Care Industry

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August 2020 - Vol. 36 No. 8

  • Currently, almost 30 states have enacted some level of surprise billing protection, with other states considering similar legislation
  • Survey Says: ARM Industry Returns $90.1 Billion to the Economy
  • Early Out vs. Bad Debt Collections

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July 2020 - Vol. 36 No. 7

  • Fax to Consumer’s Attorney Not Actionable under the FDCPA
  • Almost One- Third of Respondents Reported Falling Behind on Monthly Bills
  • Access to Rural Health Care Viewed as Troublesome by Likely Voters

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June 2020 - Vol. 36 No. 6

  • ACA SearchPoint provides information on state laws concerning community property.
  • Hospitals Receiving CARES Money Banned from Surprise Billing on COVID-19 Cases
  • Physician Practice Patterns Changing As a Result of COVID-19
  • Two of Five People with Jobs Affected by the Coronavirus Pandemic Also Are Experiencing Health Insurance Insecurity

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May 2020 - Vol. 36 No. 5

  • When was the last time you reviewed your compliance procedures related to 501(r)?
  • U.S. Chamber Publishes COVID-19 Loan Guide to Help Small Businesses
  • New Medical Debt Collection Bill on the Books in Idaho

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April 2020 - Vol. 36 No. 4

  • Health Care Billing Practices – What’s New and What You Need to Know
  • 19 Rural Hospitals Shut Down in 2019 Marking Worst Year of Closures
  • Legal Corner – Court Sides with Industry

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March 2020 - Vol. 36 No. 3

  • What Happens in California Doesn’t Always Stay in California
  • HHS Resolves about 99% HIPAA-Related Complaints
  • From 2007 to 2015, the number of beneficiaries ages 65 to 69 increased more than any other age group as baby boomers joined Medicare.

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February 2020 - Vol. 36 No. 2

  • Congress Eyes Medical Debt in New Legislation
  • Trump Extends Comment Period for Proposed Rule on Price Transparency
  • Financial Consequences of Serious Illness for Medicare Beneficiaries, 2018

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January 2020 - Vol. 36 No. 1

  • Health Care M&A: What is the Future for the ARM Industry
  • After 15 Years, New Federal Overtime Rule Advances Salary Thresholds
  • Data Watch: U.S. Health Care Sector Revenue

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December 2019 - Vol. 35 No. 12

  • States Step Up to Resolve the Surprise Billing Issue—But, is it enough?
  • Court Dismisses TCPA Violation on Text Messages Reportedly Sent Using ATDS
  • Health Care M&A Volume Declines in Q3

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November 2019 - Vol. 35 No. 11

  • Insights from recent case law and the CFPB’s proposed rules can help you navigate issues
    surrounding medical debt credit reporting practices.
  • Hospitals trying to figure out how to post their rates per CMS proposed requirement
  • SBA Encourages CFPB to Mitigate Rule’s Impact on Small Business

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October 2019 - Vol. 35 No. 10

  • Costs of Data Breaches Growing Across Health Care Industry
  • Trump Executive Order Opens Door or Hospital Price Transparency
  • Poll Shows a Majority of Americans Worry About Hackers
  • Americans’ Lack of Trust in Institutional Data Security

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September 2019 - Vol. 35 No. 9

  • ACA SearchPoint provides information on state collection laws for medical debt
  • As Health Care Premiums Increase, States Look for Solutions
  • Texas Enacts Healthcare Measures Impacting Credit Reporting and “Surprise” Medical Billing
  • New York’s Arbitration-focused surprise billing law touted as model

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August 2019 - Vol. 35 No. 8

  • JAMA Study Finds 36% of Virginia Hospitals Garnishing Wages Over Unpaid Bills
  • Surprise Medical Bills: Unforeseen Out-of-Network Charges Cause Concern Among Consumers
  • Senate Health Committee Votes to Reduce Health Care Costs
  • The Cost of Data Breaches is Significant for Health and Financial Organizations

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July 2019 - Vol. 35 No. 7

  • Washington Governor Signs Debt Collection Bills
  • Affordable Care Act: State Reinsurance Programs
  • Employer Plans Leaving More Adults Underinsured

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June 2019 - Vol. 35 No. 6

  • Balance it Out; Remaining current on state and federal legislative updates may be the best medicine for dealing with “balance billing” questions.
  • Healthcare Costs:  What Keeps You Up at Night?
  • Nearly Half of U.S. Adults Report Significant Concern That a Major Health Event Will Result in Personal Bankruptcy

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May 2019 - Vol. 35 No. 5

  • Reporting for Duty – FCRA amendments related to veterans’ medical debts
  • HHS Payment Model Designed to Meet Beneficiaries’ Emergency Needs
  • Oregon Measure Addresses Indigent Care
  • Million-Dollar Lawsuit Results from Insurer Sending Payment to Patients – not Doctors

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April 2019 - Vol. 35 No. 4

  • HHS Report:  Record Settlements for HIPAA Violations Reached in 2018
  • Senator Chuck Grassley to IRS:  How Many Hospitals Comply with 501(r) Requirements?
  • How Insurance Coverage Impacts Consumers’ Ability to Pay

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March 2019 - Vol. 35 No. 3

  • HHS Issues Voluntary Cybersecurity Guidance for Health Care Providers
  • Why a Patient-Friendly Billing and Payment System Matters
  • Patients Prefer Payment Plans for Medical Bills
  • Impact of Cybersecurity Threats for Small Businesses

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February 2019 - Vol. 35 No. 2

  • Health are Providers Report Status of Revenue Cycle Management
  • Employer-Based Insurance Premiums Create Growing Burden for Families
  • BillingTree Survey Reveals Increase in Shift to Online Payments
  • Insurance Payments on the Rise

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January 2019 - Vol. 35 No. 1

  • A Healthy Business Relationship
  • Senators Cosponsor Legislation to End Surprise Medical Bills; Lower Health Care Costs
  • Revenue Cycle Management Industry is Poised for Growth

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December 2018 – Vol. 34 No. 12

  • Emergency Brake – Common collection challenges that arise from the emergency room
  • Survey Shows Greater Financial Strain from Consumers with Serious Illness
  • Medical Debt Declines with Patients’ Age

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November 2018 – Vol. 34 No. 11

  • Protecting Health Care Information
  • Are You a Health Care Collection Expert?
  • Health Care Market Concentration

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October 2018 – Vol. 34 No. 10

  • Safe and Sound – How well do you understand privacy considerations under HIPAA?
  • Data Breach Risks Continue in the Health Care Industry
  • Are Health Care Costs Affordable to Most Americans?
  • Patient Records Impacted by Data Breach Incidents

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