New Study – No Surprises Act protects 9 million Americans from surprise medical bills – InsuranceNewsNet

“A medical emergency should not lead to a financial crisis. The No Surprises Act has now protected 9 million Americans from costly medical bills from healthcare providers – a huge win for patients,” said David Merrit, Senior Vice President of Policy and Advocacy at BCBSA. “However, the tens of thousands of arbitration claims filed by providers clearly demonstrate that more needs to be done to ensure they are not abusing the system for their financial gain. We will continue to work on behalf of patients. to protect everyone from surprise medical bills and lower healthcare costs through an efficient resolution process.”

Data released earlier this year by AHIP and BCBSA revealed that in the first 2 months of 2022, the NSA avoided over two million potential surprise medical bills for all commercially insured patients. This survey is based on these first results and underlines the impact of the NSA in consumer protection against surprise medical bills and highlights the excessive reliance on arbitration by healthcare providers.

In October and November 2022, AHIP, and BCBSA collectively surveyed their respective member health insurance providers with enrollment in the commercial market, including employer-sponsored insurance, and the individual market. The survey was distributed to 84 health insurance providers selling or administering group health plans and qualified health plans. 33 health insurance providers, collectively representing 122 million commercial members or 57% of the total commercial market, responded to the survey via an online tool.

To arrive at the national estimate of the number of NSA-eligible requests, requests submitted to IDR and IDR batches received for requests that have been processed at the time of the survey, the study first calculated these measures per enrollee. It then multiplied those measures by the 2021 census estimate of the total number of business registrants (213 million) to arrive at the final estimate.

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