The No Surprises Act ended surprise bills. But the arbitration behind it now costs ~$3B a year, and it's hitting state budgets: New York blames it for $200M+ in added costs and higher premiums.
The good news is it’s fixable! Our analysis ⬇️
Lawson Mansell (@lawsonhmansell)
NEW: @caitgallamore and I dive into the new numbers on No Surprises Act arbitration.
TLDR: It's bad.
In 2025:
- 75%⬆️ in disputes, now over 100x the fed gov's volume expectation
- Surgery and neurology seeing 15x-25x in-network rates (QPA) + typical provider now offering 5x QPA
— https://nitter.net/lawsonhmansell/status/2082916930336264676#m