STAT+: Provider, insurer groups rush to shape No Surprises Act arbitration rules
Get the Health newsletter
Daily health & science — research, biotech, public health, the studies worth knowing. Free.
- Four federal agencies (HHS, Labor, Treasury, OPM) are preparing the final Independent Dispute Resolution Operations rule for the No Surprises Act, expected to be released soon.
- The agencies have held 20 meetings this year, with 13 involving health‑care providers or their trade groups, 4 with insurers or their trade groups, and 3 with other sectors.
- Initial draft of the IDRO rule was published in November 2023.
- Proposed revisions would let claims be grouped more flexibly, require greater transparency in pre‑arbitration negotiations, and adjust arbitration fee structures.
- Providers have had 13 of the 20 meetings, compared with only four for insurers, giving them a stronger voice in shaping the final rule.
Why it matters: Providers gain a louder voice in shaping the final No Surprises arbitration rule, while insurers lose leverage; the rule’s changes to claim grouping, fee structures, and negotiation transparency will affect dispute settlements and fee allocations.
Ask SkimNews
