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> Elevance Health claims this policy is a response to providers using the No Surprise Act’s independent dispute resolution process, designed to settle billing d
by kingstnap 11mo ago
> Elevance Health claims this policy is a response to providers using the No Surprise Act’s independent dispute resolution process, designed to settle billing disputes between providers and insurers, to negotiate payments for procedures that typically wouldn’t be covered by the act.
> “Across the country, [independent dispute resolution] filings have skyrocketed, many for nonemergency, planned procedures that should never qualify for arbitration,” a spokesperson for Elevance Health wrote in an email to the Lever. “Certain providers are using the process as a backdoor payment channel, driving up costs that ultimately impact patients, employers, and taxpayers.”
Perverse incentives and American Healthcare, what a classic.
- nitwit005 11mo agoIt's an attempt to fix a perverse incentive causing a new perverse incentive. Which has been going on for the last 70 years or so. Unfortunately, there doesn't appear to be a great way to have a profit driven motive to make the population generally healthier.