Two years since the law went into effect, a new GAO report reveals the No Surprises Act provider participation in payer networks remains stable, though a financial divide remains between hospitals and physicians.
Despite fears that the No Surprises Act (NSA) would reduce provider participation in insurance networks or drastically alter contracted payment rates, a report from the Government Accountability Office shows that in-network claim volumes increased post-NSA for historically out-of-network specialties like emergency medicine and anesthesiology.
See the infographic below for key takeaways from the report, or read more here.
Luke Gale is the revenue cycle editor for HealthLeaders.
KEY TAKEAWAYS
In-network claims for historically out-of-network specialties, like emergency medicine, increased between 2021 and 2023.
While facility payments for emergency services recently increased, professional payments for those same services dropped 20.1% over a five-year period.
Complexity in the Independent Dispute Resolution process and high out-of-network denial rates are prompting providers to prioritize in-network contracting for revenue stability.