Schaeffer Initiative experts examine several key implementation questions within the No Surprises Act and discuss options for resolving those questions.
A look at the No Surprise Act, a new federal law that ends surprise out-of-network billing. The law was passed late last year as part of the omnibus bill.
Arbitrators seemed to anchor decision around surprising billing to the 80th percentile of charges with the median decision being 5.7 times prevailing in-network rates for the same services.
The mean award was 9 times higher than the median in-network price for the same services.
Private equity firm-owned air ambulance services charge markedly higher rates than other types of providers of the same service, according to new research.
About 12% of insurers’ U.S. spending on in- and out-of-network medical care goes to six types of providers that commonly submit surprise bills.
Policies to address surprise billing could reduce health insurance premiums by 1% to 5%.
Out‐of‐network air ambulance bills are a type of surprise medical bill and are driven by many of the same market failures behind other surprise medical bills.
One-in-twelve episodes at ambulatory surgery centers had the potential to result in a surprise medical bill, according to the study.