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Friday
May072021

Pulse of Payers on No Surprises Act

How are health plans and other purchasers feeling about facing the No Surprises Act at this juncture - with the ACT taking effect January 1, 2022 - ? Zelis recently conduct a survey "of 116 healthcare payer executives representing 85 payer health plans, third-party administrators (TPAs) and health planned-owned TPAs"

Here are six takeaways: 

  • 95% of healthcare insurers expressed concern about the ability of the healthcare system to achieve compliance with the Act by the deadline.
  • 64%y are concerned about adhering to the timelines required 
  • 61% are concerned about transparency requirements
  • 41% expressed concern about setting the appropriate reimbursement levels
  • 41% are concerned about managing the Independent Dispute Resolution process
  • 39% have concerns about provider directory requirements

 

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