Skip to content
The Nexus
HEALTHJun 13 · 13:00 UTCAMNYBy Roy W. Breitenbach and Peter M. Hoffman

Op-ed | Health plans take aim at independent dispute resolution cases; tips for providers

The number of Independent Dispute Resolution (IDR) cases under the No Surprises Act has surged, with out-of-network providers winning over 80% of cases. Health plans are increasingly challenging providers, who face tactics to mitigate their success. Over 3.3 million IDRs were filed in 2024, with providers securing median payments 450% above the Qualified Payment Amount.

Nexus surfaces and summarizes. The full story lives at the source.

Mentioned
No Surprises ActtopicIndependent Dispute Resolutiontopichealth care insurance plansorganizationout-of-network providersorganizationQualified Payment AmounttopicNew Yorkplace
Spot something wrong with this article?Report a problem →
Forward this
Related Signal

Adjacent reporting