@sarahkliff (2) Network Medical Review Company is listed in public reporting as backed by a private equity firm that also owns North American Partners in Anesthesia, an anesthesiology practice mgmt. co. that initiates NSA cases. https://t.co/VEaGVXU6Ev
@sarahkliff (1) Island Peer Review Org. was one of the few IDREs contracting previously with New York State, which pegged payment to 80th percentile of charges. This benchmark is a higher amount than QPA. Their pre-NSA experience might have anchored them on a high win rate.
@analisapackham You won’t be there? So sad. But just another reason to write good papers and get to share them with friends and ride ferris wheels 🎡. Thanks for saying that!
@LorenAdler That $479 million, however, is misleading: the *entire* amount awarded in arbitration in 2023 was $393 million, and that's across all participants, not just this one firm. So sure, there are admin costs. But the portion you highlighted has other sources than the NSA, certainly.