The Perils of Government-Mandated Arbitration
Protecting patients from surprise bills requires us to address the market failure that drives the problem in the first place. Arbitration is a failed remedy that will incentivize exorbitant charges moving forward. Learn more about why arbitration will continue to lead to sky-high charges from out-of-network providers and higher premiums for all of us.
Four Provider Organizations Are Abusing and Misusing Arbitration. Employers, Patients, and Families are Paying the Price
Prior to the passage of the No Surprises Act, certain private equity-backed health care providers designed an entire business model around strategically exiting health plans’ networks as a way to maximize out-of-network reimbursements at the expense of patients,...
ICYMI: How Private Equity Is Gaming the No Surprises Act
Researchers at Georgetown University’s Center on Health Insurance Reform recently analyzed new data from the Centers for Medicare & Medicaid Services (CMS) detailing arbitration outcomes from all of 2023 under the No Surprises Act. While the law has been effective...
Four Key Takeaways from the Latest No Surprises Act Data
Researchers from the Brookings Institution recently analyzed the latest data from the Centers for Medicare & Medicaid Services (CMS) detailing arbitration outcomes under the No Surprises Act (NSA). The analysis reviews Q3 and Q4 2024 outcomes as an update to their...
Five Things to Know About the No Surprises Act
Millions of Americans have received care in a hospital or emergency department since 2022 without receiving a costly surprise medical bill, thanks to the bipartisan No Surprises Act. The law continues to protect patients from surprise bills, but efforts to undermine...
CASMB Submits Comments to DOJ, FTC, and HHS on Private Equity’s Impact on the U.S. Health Care System
The Coalition Against Surprise Medical Billing (CASMB) recently submitted comments to the Department of Justice (DOJ), the Federal Trade Commission (FTC), and the Department of Health and Human Services (HHS) in response to a request for information (RFI) to better...
What They Are Saying: Private Equity-Backed Providers’ Taking Advantage of IDR at Consumers’ Expense
Policy experts across the political spectrum are sounding the alarm on how private equity (PE) is manipulating the independent dispute resolution (IDR) process under the No Surprises Act (NSA). As a result, concerns are mounting that the now-expansive IDR process...
Myths & Facts on Implementation of the No Surprises Act
Myth 1: The No Surprises Act is leading to an exodus of doctors and specialists from health plans’ provider networks, making it more difficult for patients to access the affordable, in-network care they need. Fact: Since passage of the No Surprises Act, health plans’...
ICYMI: New Research Confirms Rise In Private Equity-Acquired Physician Practices
A new report published in Health Affairs confirms a troubling increase in the number of private equity-acquired physician practices between 2012-2021, raising further concerns about these firms’ penetration at the physician level into local markets and the potential...
CASMB Urges Congressional Leaders to Uphold Surprise Billing Protections As New Data Estimate No Surprises Act Prevented 25 Million Surprise Medical Bills
A new letter from leading employers, unions and health plans stresses the importance of The No Surprises Act in safeguarding patients from roughly more than 25 million surprise medical bills since 2022. Members of the Coalition Against Surprise Medical Billing (CASMB)...
In New Letter to Biden Administration, CASMB Calls for Tri-Agencies to Maintain Limited IDR Process, Consumer Protections Against Surprise Medical Bills
Beginning Jan. 1, 2022, millions of Americans will be protected from the threat and financial harm of surprise medical bills. Maintaining these important consumer protections, including a limited process for independent dispute resolution (IDR), is essential for...