Advocating for Fairness in the No Surprises Act

Insufficient health plan networks and surprise medical bills have had a substantial impact on patients through the years. The No Surprises Act of 2020 aimed to address surprise bills by taking patients out of medical billing disputes between physicians and insurance companies. In part, the law set up an independent dispute resolution, or IDR, process that was supposed to be fair and impartial. However, the regulations implementing the law now favor insurance companies. The CAP is advocating to make the IDR process truly independent and fair to all participants. We spoke with Dr. Theresa Emory, chair of the CAP’s Payment Policy Subcommittee, to learn more.