GAO: No Surprises Act rollout has been ‘challenging’ for radiologists, other physicians

Radiology Business December 14, 2023
Marty Stempniak

The rollout of the No Surprises Act has been “challenging” for radiologists and other physicians, according to a new report from the U.S. Government Accountability Office released Tuesday.

Federal departments had anticipated only about 22,000 disputes between commercial insurers and providers in 2022. However, between April 2022 and June of this year, the actual number was more than twentyfold higher—at 490,000. About 61% of such quarrels over payment for out-of-network care remained unresolved at the time of the analysis.

“The groups GAO interviewed described a challenging rollout of the independent dispute resolution process, including a higher-than-expected dispute volume,” the office noted. “Four groups told GAO the departments did not account for the experience of states with similar processes when...

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