Stop Surprise Medical Bills
Our Mission
-
- Protect patients and families from surprise medical bills sent by out-of-network providers.
- Maintain fair and equitable payments for providers with a benchmark standard based on local, competitive market-based rates.
- Help reduce consumers’ health insurance premiums and taxpayers’ costs by avoiding an arbitration process that adds unnecessary cost, delay and bureaucracy to the health system and is particularly harmful for smaller companies.
The Problem
When clinical specialists choose not to participate in health insurance providers’ networks – or if they do not meet the standards for inclusion – they often demand a blank check from patients for their services. The consequences are significant: financial stress, fighting a complicated, confusing bureaucracy, harassed by collection agencies, and often legal action for non-payment. And when a health insurance provider steps in on a patient’s behalf to cover the surprise medical bill, it raises premiums for everyone else.
Role of Private Equity
The Solution

News
ICYMI: Private Equity-Backed Providers and Profit-Enhancing Middlemen Have Made Manipulating the IDR Process a Business Model
Certain health care providers—particularly large, private equity-backed groups—are increasingly dominating the federal Independent Dispute Resolution (IDR) process established under the No Surprises Act, according to new data from the Centers for Medicare &...
CASMB Urges the Trump Administration to Fix Costly Arbitration Process That Threatens to Undermine No Surprises Act
WASHINGTON, DC – Unnecessary and wasteful costs from the federal arbitration process continue to add up for employers, unions and health plans as certain providers continue to overuse and likely misuse the system, according to a new letter to the Trump-Vance...
Surprise, Surprise – Some Providers Are Still Surprise Billing Patients Despite Federal Ban
New data from the Center for Medicare & Medicaid Services (CMS) on implementation of the No Surprises Act (NSA) found that some providers are still attempting to balance bill patients and continue to submit ineligible, incomplete, or incorrect claims to the...
Take Action
Tell Washington it’s time to protect patients from surprise and unfair medical bills.