White Papers - aequum White Papers - aequum

Fear Not an NSA Lawsuit: Understanding Real Risk and Making Smarter Decisions Under the No Surprises Act

This white paper examines how misunderstanding the No Surprises Act (NSA) and the Independent Dispute Resolution (IDR) process has contributed to unnecessary payment decisions and avoidable cost exposure for health plans and self-insured employers. As reimbursement disputes become more complex, many organizations are relying on overly cautious payment and escalation practices driven by perceived legal risk rather than strategic evaluation. aequum helps plans navigate this environment through post-payment oversight, reimbursement analysis, dispute management and legal advocacy designed to improve financial stewardship and strengthen reimbursement decision-making. This paper clarifies current enforcement realities under the NSA and outlines the value of a more structured, evidence-based approach to managing reimbursement disputes.

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The No Surprises Act IDR System in 2025-2026: Data, Litigation, Structural Incentives and Employer Impact

This paper integrates operational data, specialty and initiator analytics and legal developments to bring awareness of the key IDR Process issues to employers and plans.

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No Surprises Act: What Every Plan Sponsor Needs to Know

This white paper addresses the risk to reference-based pricing health plans arising out of the No Surprises Act.

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No Surprises Act: Tech-Driven aequum Delivers Decisive Blow Against Balance Billing

This white paper addresses challenges related to self-funded health plans and examines reference-based pricing, out-of-network balance billing -- sometimes known as surprise billing -- and outlines the benefits of partnering with aequum.

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