About Us
The Coalition Against Surprise Medical Billing represents leading employer groups, unions, health insurance providers, and the tens of millions of people they employ and serve each day. Together, we support comprehensive protections for Americans against surprise medical bills, including:
- Ensuring that as implementation continues, the No Surprises Act regulations remain in place to serve patients and end the practice of out-of-network providers sending surprise medical bills—while also lowering costs.
- Maintaining fair and market-based payments for out-of-network care; and
- Reducing Americans’ health insurance premiums and taxpayers’ costs by avoiding an arbitration process that adds unnecessary cost, delay, and red tape to the health system.
By the Numbers: Surprise Medical Billing
- 3.3 million: Since the IDR portal launched in April 2022, more than 3.3 million disputes have been initiated, far exceeding projections from the Department of Health and Human Services.
- 87%: Providers continue to win far more often—at 87% compared to just 18% for health plans in Q4 of 2024.
- 447%: Providers are not only winning disputes more often, but when they do, their payment offers are significantly higher—a median of 447% compared to just 105% for health plans.
- 63%: In the first half of 2024, nearly two-thirds (63%) of resolved cases came from just five organizations: Team Health, SCP Health, Radiology Partners, AGS Health, and HaloMD.
- 600% fee increase: CMS increased the administrative fee for initiating arbitration in 2023 from $50 to $350 per dispute, resulting in higher costs for patients and signaling abuse or overuse of arbitration.
- $5 billion: The IDR process has generated at least $5 billion—about $2 to $2.5 billion annually—in total costs (combining required fee payments, administrative costs, and additional payments for services) through the end of 2024.
- 31: The 31 lawsuits filed against the No Surprises Act, implementing regulations and decisions by Independent Dispute Resolution entities are likely to increase costs and wrap the system even more with red tape.
Our Members
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Latest News
CASMB Statement on Surprise Billing IDR Proposed Rule
WASHINGTON, D.C. – (November 1, 2023) - The Coalition Against Surprise Medical Billing issued the following statement in response to a proposed rule from the Departments of Health and Human Services, Labor, and the Treasury, and the Office of Personnel Management...
The Coalition Against Surprise Medical Billing Urges Congress to Protect and Support the No Surprises Act
September 18, 2023 The Honorable Kevin McCarthy The Honorable Charles Schumer Speaker of the House Senate Majority Leader United States House of Representatives ...
ICYMI: Patient, Consumer, and Employer Groups Comment on the Recent TMA III Ruling, Renewing Calls to Protect the No Surprises Act
WASHINGTON, D.C. – (August 25, 2023) - Patient, consumer, and employer groups issued statements in response condemning the recent decision rendered in the Texas Medical Association v. United States Department of Health and Human Services case (TMA III), which...