Health Affairs May 22, 2024
The No Surprises Act (NSA) was enacted in December 2020 to protect consumers from the most pervasive out-of-network surprise medical bills and constrain overall health care costs. To further those goals, the NSA established a requirement to provide consumers with transparent information about expected out-of-pocket costs for health care items and services prior to receiving care. The law also created an arbitration process for providers and health plans to negotiate payment rates for certain out-of-network services and established several factors for arbitrators to take into consideration during that process. In addition, the NSA included a number of other provisions designed to make medical prices more transparent, both in general and specifically for consumers seeking to understand how their health plan...
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