The upshot of all of this: Outrageous provider-driven abuse of the No Surprises Act is adding billions in wasteful spending and raising healthcare costs for everyone. Policy action is needed to address flawed incentives in the IDR process and protect consumers from unconscionable price gouging by out-of-network providers and IDR middlemen.
Read the full NYT report here: https://t.co/s6P1xfqD5e
“Crazy” … “Way out of line”… “Not sustainable for healthcare costs.”
Yet another investigative report is pulling back the curtain on growing abuse of the No Surprises Act by out-of-network providers and IDR middlemen who flood the law’s arbitration system with ineligible claims and extract outrageous overpayments to maximize their own profits at Americans' expense.
”A law meant to end surprise medical billing has led to large paydays for some surgical assistants, who can earn far more than the doctors they help,” The New York Times finds in a report titled “$22,000 Per Hour: Assistants Use a Legislative Loophole to Outearn Surgeons.”
Outrageous provider-driven abuse of the No Surprises Act is adding billions in wasteful spending and raising healthcare costs for everyone. Policy action is needed to address flawed incentives in the IDR process and protect consumers from unconscionable price gouging by out-of-network providers and IDR middlemen.
https://t.co/s6P1xfqD5e
Growing provider-driven abuse led the Congressional Budget Office (CBO) to acknowledge this month that “[e]merging evidence suggests that the law might not have the [savings] effects that CBO anticipated,” warning it may cause higher premiums, higher federal deficits and increased anti-competitive consolidation by providers. https://t.co/RjUJ5DPP4I
On This Day 6/17/1994: The Rangers became the first -- and only -- hockey team ever honored with a parade through New York's Canyon of Heroes.
The Rangers celebrate their Stanley Cup championship with a parade down the Canyon of Heroes in New York City.
You can see here how much higher the prices emerging from arbitration have been than prior in-network rates: https://t.co/99IldibaRJ
The Turquoise Health comparisons with concurrent in-network prices appear even more stark: https://t.co/n8Lbsllyq9
CBO wants research analyzing the impacts of the No Surprises Act on health care costs.
While they originally estimated the law would ↓ premiums, that relied on the assumption that IDR outcomes would be close to prior in-network rates.
Instead, outcomes have been far higher.
New federal data shows hospital revenues increased 7.6% in the first quarter of 2026 compared to 2025. Hospitals continue to be the biggest driver of health care cost growth.
Our second meeting went a little smoother. Huge congrats to my new friend @AlvaradoJose15 and the @nyknicks on their historic comeback. Don't ever count NYC out. One more to go. Let's Go Knicks!
This is a meaningful step forward toward giving patients faster answers, more certainty, and fewer unnecessary delays in care. I applaud these efforts from a collection of the largest health plans across most market segments as momentum builds. We look forward to continuing to work with health plans and providers on improving care for patients through this effort.
https://t.co/1nID9ipXbT
Health plans today announced continued progress in advancing the industry’s voluntary, multi-year commitment to streamline and simplify #PriorAuthorization: a new, standardized approach for medical services commonly subject to prior authorization. https://t.co/psrfv14h7J