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ICYMI: New Analysis from Brookings Underscores How Private Equity Is Overwhelming Arbitration
Certain private equity-backed providers are flooding the federal arbitration process with thousands of frivolous and ineligible claims, according to a new analysis from Brookings Institution researchers published in Health Affairs. The latest assessment confirms that...
Employers, Health Plans Oppose Legislation to Make Arbitration More Costly for Consumers
While the No Surprises Act took a critical step in banning unfair, egregious surprise medical bills, certain private equity-backed providers continue to abuse and misuse the law’s arbitration process (also known as independent dispute resolution, or IDR) as a “back...
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’...
New Polling: Bipartisan Voters Concerned about Private Equity’s Legal Threats to the No Surprises Act
WASHINGTON, DC – With the No Surprises Act preventing more than 1 million surprise bills per month, three in four voters are concerned that pending lawsuits from providers and hospitals could weaken the patient protections that stop these bills from reaching consumers...