The federal No Surprises Act has become a flashpoint for physician groups and payers alike as the law’s independent dispute resolution process draws criticism due to costly inefficiencies and other process issues.
Here are eight updates on the NSA and plans for its reform:
- HHS, CMS, the Labor Department and the Treasury Department finalized a rule May 28 overhauling the federal IDR process under the No Surprises Act. Under the new policies, the administrative fee per party per dispute will drop from $115 to $15, a reduction of more than 85%. The change directly affects the economics of disputing smaller claims, an issue that has frustrated specialty practices since the IDR process launched in April 2022.