Closing the Enforcement Gap in the No Suprises Act

When the No Surprises Act (NSA) took effect, it was widely viewed as a major step forward in protecting patients from unexpected medical bills and curbing excessive out-of-network pricing. It created clear standards around balance billing, established payment frameworks and introduced the federal Independent Dispute Resolution (IDR) process to help resolve payment disagreements between plans … Continued

From Solution to Cost Driver: How IDR Is Increasing Plan Risk

The No Surprises Act (NSA) was designed to reduce unexpected medical bills and create a fair process for resolving out-of-network payment disputes. Central to that framework is the Independent Dispute Resolution (IDR) process, intended to bring balance between providers and payers. What it did not anticipate was how that process could be used at scale … Continued