Advertising
News
ICYMI: How Arbitration Is Driving Up Costs Under the No Surprises Act
Affordability was one of the defining issues of the recent midterm elections, and healthcare costs ranked among voters’ top concerns. Now, a former federal official who helped write the rules implementing the No Surprises Act is warning that the law’s broken...
CASMB Statement on Denial of Recertification for IDR Entities
Washington, D.C. – Following the announcement from the Departments of Health and Human Services (HHS), Labor, and the Treasury on the denial of recertification for two independent dispute resolution entities (IDREs), the Coalition Against Surprise Medical Billing...
HaloMD’s Data Paints A Misleading Picture
A new story based on HaloMD’s award data does not account for health plans’ established processes used to reimburse for out-of-network care and understates the significant impact of ineligible disputes entering the arbitration process. Health Plans Make Initial...
ICYMI: As IDR Expenses Climb, Bipartisan Energy & Commerce Leaders Ask CBO For Update on Arbitration’s Cost Impact
In a new letter to the Congressional Budget Office (CBO), House Energy & Commerce Chairman Brett Guthrie (R-Ky.) and Ranking Member Frank Pallone, Jr. (D-N.J.) have asked for an updated cost assessment on the No Surprises Act arbitration process as evidence...
Stakeholders Voice Growing Support for Legislation to End Arbitration, Loopholes Within No Surprises Act
House Energy and Commerce Committee Ranking Member Representative Frank Pallone, Jr. (NJ-06) recently introduced the Lower Premiums, Faster Payments Act (H.R. 10788), which would stop costly abuse and misuse of arbitration by replacing the No Surprises Act’s...
Five Things to Know About the No Surprises Act’s Growing Arbitration Costs
Congress passed the No Surprises Act to end surprise medical bills, and it largely has for patients. But employers and working families are now facing a new surprise: higher premiums and shrinking provider networks, driven by certain providers’ and arbitration firms’...
IDR Was Projected to Handle 17,000 Disputes a Year. Now, It’s Over 7,000 a Day.
When Congress passed the No Surprises Act, the independent dispute resolution (IDR) process was intended to settle occasional payment disputes between providers and health plans. Regulators originally estimated that the process would handle 17,000 disputes a year. In...
STAT Investigation Reveals Arbitrators Operating with Little Accountability, Transparency Amid IDR Affordability Crisis
At a time when CMS is actively assessing re-certification for select arbitrators, also known as IDR entities (IDREs), a new investigation by STAT News finds that arbitrators are profiting from a system with little accountability or oversight, siding with providers in...
In New Op-Ed, Paragon Health Leaders Urge Congress to Tackle “Broken” IDR Process
With affordability top of mind for voters and policymakers heading into the midterm elections, Paragon Health Institute’s Brian Blase and Jackson Hammond make the case in a new Washington Post op-ed that tackling the “unintended consequences of the No Surprises Act’s...
ICYMI: CBS News Investigation Examines How Surprise Billing Arbitration Is Fueling Outsized Payments
Patients are largely protected from surprise medical bills, but they are paying the price for certain private equity-backed providers and out-of-network specialists who abuse the No Surprises Act. A new CBS News investigation examines how the law’s arbitration process...