January 3, 2023
Payers
  • The Centers for Medicare & Medicaid Services (CMS) released data showing that insurers and providers are overwhelming an arbitration system intended to resolve billing disputes. The system, established under the No Surprise Act, went into effect earlier this year to ensure patients aren’t held financially responsible when there’s a disagreement over the cost of out-of-network care. Federal agencies estimated there would be 17,333 claims a year submitted to the process; CMS data show there were more than 90,000 disputes initiated in less than six months. (Article here)