By Jack Hoadley, Kevin Lucia, JoAnn Volk
On August 19, the federal authorities issued a brand new remaining rule to additional implement the federal unbiased dispute decision (IDR) course of underneath the No Surprises Act (NSA). The federal IDR course of might be used to resolve disputes between out-of-network suppliers and self-funded plans in addition to insurers in states that would not have an current fee decision mechanism; the federal IDR course of will usually not apply to insurers in states with a “specified state legislation.”
In a brand new Knowledgeable Perspective for the State Well being & Worth Methods mission, CHIR’s Jack Hoadley, Kevin Lucia, and JoAnn Volk evaluate the ultimate rule and discusses its implications for state stability billing protections and oversight. Learn the total article right here.