Healthcare Finance News November 23, 2022
Lawmakers say the final rule implementing the law favors insurers and should be changed to reflect provider concerns.
Leaders of the House Ways and Means Committee have sent a letter to several federal agencies saying the final rule implementing the No Surprises Act favors insurers and should be changed to reflect provider concerns.
The law, which bans surprise medical bills, sees payers and providers entering into a third-party arbitration process to settle disputes regarding out-of-network charges. The final rules specify that certified independent dispute resolution (IDR) entities should select the offer that best represents the value of the item or service under dispute after considering the Qualified Payment Amount (QPA) and all permissible information submitted by the parties.
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