Becker's Healthcare January 8, 2026
The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and providers suing over alleged abuse of the arbitration system.
The disputes come as research shows the IDR process has generated at least $5 billion in costs since 2022, prompting lawmakers to call for stronger federal enforcement and insurers to implement controversial reimbursement policies.
Eleven updates:
Policy
1. Fourteen House lawmakers called for a federal investigation of Elevance Health’s new policy that penalizes hospitals 10% for using out-of-network providers, arguing it is anti-competitive and circumvents the IDR process. The lawmakers and hospital groups say the policy pressures hospitals to force unsustainable rates on...
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