CMS directed certified IDR entities to pause all payment determinations for No Surprises Act disputes following a February 2023 court ruling, requiring previously issued decisions to be recalled. While arbitration activities like eligibility reviews continued, the halt created delays and uncertainty as regulators worked to update guidance for compliant payment decisions.
More than a year after the No Surprises Act (NSA) took effect, parts of the law are still creating challenges, including the independent dispute resolution (IDR) process.
On February 6, 2023, a federal judge in Texas ruled in favor of the Texas Medical Association (TMA) in their second suit challenging aspects of regulations related to the No Surprises Act’s Independent Dispute Resolution (IDR) process.
MultiPlan summarizes the Texas Medical Association’s fourth NSA lawsuit, challenging the IDR fee and batching rule.
MultiPlan will host a conference call and release its fourth quarter and full year 2022 financial results on Tuesday, February 28, 2023.
Claritev is using machine learning in its toughest and easiest negotiations
As we look forward to the new year, we will see payors, providers, and consumers collaborating to improve the healthcare experience. One thing is a sure bet, healthcare will remain a dynamic industry with creative solutions emerging throughout 2023 and beyond.
MultiPlan welcomes Carol Nutter as the new Chief People Officer to oversee the people strategy and operations of recruitment, talent management, employee engagement and wellness, DEIB (diversity, equity, inclusion, and belonging), and build development opportunities for upskilling and reskilling.
MultiPlan has awarded $41,000 to rural hospitals through its annual Rural Health Grant program, funding creative, technology-based solutions that expand access to care and improve health outcomes in underserved communities.
The first federal report on the No Surprises Act’s Independent Dispute Resolution (IDR) process reveals significantly higher dispute volumes than anticipated, along with operational challenges in eligibility determinations and resolution timelines. These early insights highlight the complexity of the IDR process and the need for more efficient strategies as payers and providers adapt to evolving requirements.