Where Did the No Surprises Act Go Wrong? And Can It Be Fixed? episode artwork

EPISODE · Jun 11, 2026 · 52 MIN

Where Did the No Surprises Act Go Wrong? And Can It Be Fixed?

from Tradeoffs

The No Surprises Act was designed to protect patients from unexpected medical bills, but nearly four years after the law took effect, many experts say parts of its implementation aren't working as intended. Insurers, hospitals, physician groups and federal regulators continue to battle over the law's payment dispute process, raising questions about whether one of the nation's most significant health care consumer protection laws is achieving its goals.In this special live episode of Tradeoffs, host Dan Gorenstein moderates a conversation with three leading experts on surprise medical billing, health insurance regulation and federal health policy. They explain how the No Surprises Act was implemented, how litigation has shaped the arbitration process, why providers have won a disproportionate share of payment disputes and what policymakers could do to improve the law.Guests:Zack Cooper, Associate Professor of Public Health and of Economics, Yale University; Director of Health Policy, Tobin Center for Economic Policy; Director, Health Care Affordability Lab at YaleBenjamin Chartock, Assistant Professor of Economics, Bentley UniversityLindsey Murtagh, Senior Fellow in Health Services, Policy and Practice, Brown University School of Public HealthRachel Werner, Executive Director, Leonard Davis Institute of Health Economics; Professor of Medicine, Perelman School of Medicine, University of PennsylvaniaLearn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.

Episode metadata supplied by the publisher feed · Published Jun 11, 2026

Embed this episode

NOW PLAYING

Where Did the No Surprises Act Go Wrong? And Can It Be Fixed?

0:00 52:26

No transcript for this episode yet

We transcribe on demand. Request one and we'll notify you when it's ready — usually under 10 minutes.

No similar episodes found.

The Reasoning Show Massive Studios The Reasoning Show AI moves fast. Thinking clearly matters more.The Reasoning Show cuts through the hype to explore how the smartest people in enterprise AI actually make decisions — the strategy, the tradeoffs, and the hard lessons no press release mentions.Every week, hosts Aaron Delp and Brian Gracely sit down with the founders building the tools, investors funding the shift, and operators running AI in the real world. Not hype. Not panic. Just clear-headed conversations with people who have to make actual decisions.Because the AI revolution isn't just happening. It's being reasoned through. New shows every Wednesday and Sunday. Topics: Enterprise AI strategy · LLMs in production · AI leadership · Agentic AI ·  Digital Sovereignty · Machine Learning · AI startups ·  Cloud Computing  Cookies: Tech Security & Privacy Princeton University School of Engineering and Applied Science Technology has transformed our lives, but there are hidden tradeoffs we make as we take advantage of these new tools. Cookies, as you know, can be a tasty snack -- but they can also be something that takes your data. This podcast is presented by the Princeton University School of Engineering and Applied Science. Thirst Gap: Learning to Live with Less on the Colorado River KUNC Thirst Gap is a six-part podcast series about how the Southwest is adapting to water shortages as climate change causes the region to warm up and dry out. The series zooms in on people and places grappling with limited water supplies in the Colorado River watershed, and examines the tradeoffs that come with learning to live with less water. Anchor Change with Katie Harbath Katie Harbath Welcome to Anchor Change, where we help you panic responsibly in a chaotic world. I’m Katie Harbath—a Midwesterner living in DC who’s spent two decades navigating impossible tradeoffs at the intersection of tech, politics, and democracy.Each week, I’ll break down the headlines, talk with people forging bold paths, and explore how we can face disruption with clarity and courage. This isn’t about hot takes—it’s about finding steady ground when everything feels uncertain.In a world of complexity, you don’t have to navigate it alone. anchorchange.substack.com

Frequently Asked Questions

How long is this episode of Tradeoffs?

This episode is 52 minutes long.

When was this Tradeoffs episode published?

This episode was published on June 11, 2026.

Can I download this Tradeoffs episode?

Yes. Use the download control on the episode player to save the publisher-provided media file.
URL copied to clipboard!