Cost disputes between insurers and medical providers will soon be settled by an arbitrator, following a Biden administration rule under the No Surprises Act aimed at limiting out-of-pocket expenses for consumers
Health insurers and medical providers who can’t agree on the cost of a treatment or service will soon be settling their differences through an independent resolution system that will render decisions that shape billions of dollars in healthcare spending.
The Biden administration on Thursday issued an interim final rule establishing the architectural structure of the arbitration process, following years of lobbying by hospitals and insurers, and legislative wrangling over how to hammer out disputes over patient charges while protecting consumers from unexpected, large medical bills.
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