IMPACT ALERTS

The Departments appear to have been overcharging providers

By ignoring IDRE rulings, insurers are violating the NSA

Some insurers are systematically manipulating QPAs so they are anything but fair and adequate.

Manipulation of the No Surprises Act has added tremendous strain to the healthcare delivery system.

Bipartisan legislation will combat insurer abuse through much-needed fairness and transparency.

Corporate health insurers continue to take abusive action undermining patient access to in-network care.

Recent filings reveal insurance executives have taken home $Millions while slashing support for clinicians.

Insurers have been manipulating the NSA in ways that add tremendous strain to the healthcare delivery system.

Patients and providers are losing in-network access and employers are being hit with extra charges – all so insurers/TPAs can reap billions in additional profit.

The Administration is delaying QPA enforcement, enabling insurers to slash rates and pursue their “shared savings” kickback scheme.

The New York Times has published a blockbuster exposé on insurers making billions in profit while exposing employers and patients to costly surprise bills.

Insurers’ “Shared Savings” Kickback Scheme poses a serious risk – including to America’s low-income communities.

Some insurers are reaping billions by engineering a sharp rise in out-of-network care and then hitting employers with bogus “shared savings” fees.

Having created a crisis with slashed rates and terminated contracts, insurers are now capitalizing on the pain they’ve caused.

CMS data underscores the IDR process’ importance in protecting providers from insurer violations of the letter and spirit of the No Surprises Act.

Out-of-network care was enjoying a steady decline prior to the No Surprises Act – but that progress is now being reversed due to abusive insurer action.

Higher operating costs, lower reimbursement, and egregious insurer abuse are putting patients, practices, and communities at risk.

Rate cuts and contract terminations are causing network contraction, especially but not solely in rural communities.

Clinicians are pushed out of network, coverage is denied, and patients are being put at dire risk.

Childbirth anesthesia, resuscitation of premature infants, and other essential services are being rejected.

Some payers are illegally imposing surprise costs on patients in direct violation of the NSA

Payers Are Shredding Contracts and Slashing Rates

The NSA prohibits payers and IDREs from having financial ties – but some do anyway.

Some payers aren’t complying with the IDR process – instead, IDRE decisions are being ignored.