The No Surprises Act, signed by President Trump in 2020, protects consumers from surprise medical bills and established a payment negotiation process between medical providers and health plans. It was found that only 1 in 8 out-of-network billing disputes went to the federal dispute resolution (IDR) process. The government proposed changes to increase early communication and efficiency in IDR.
The True Cost of Focusing on Cost Instead of Cost-Effectiveness
When payors consider only the cost of the medication and not the cost and risk to the patient, doctor, and healthcare system, the irony is
