Politico October 15, 2025
Driving the Day
DUKING IT OUT — More and more insurers and providers are taking their disputes over issues like payment rates and care denials public as medical cost pressures weigh on the health industry, Kelly reports.
At least 90 contract disputes between health insurers and providers have played out in public so far this year, according to FTI Consulting, which tracks the disputes. That’s compared with 51 public disputes in 2022, 86 in 2023 and 133 in 2024.
Why it matters: The uptick is driven by providers increasingly refusing to back down from demands on a range of contract terms — from reimbursement to insurers’ prior authorization requirements. And insurers, facing an uncertain regulatory environment on Capitol Hill, are...
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