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News & Views

The NSA, Payer-Provider In-Network Negotiations, And You

Snapshots from yet more unintended consequences from the No Surprises Act

Since the NSA mandates that patients should no longer cover surprise billing, who pays for out-of-network care has become an increasingly tense area of contention between payers and providers.

Two critical questions include:

Who must absorb out-of-network expenses, now that the No Surprises Act (NSA) extends to emergency room physicians, anesthesiologists, pathologists, and other providers where patients rarely have the opportunity to acknowledge and accept out-of-network care?

How does network adequacy or geographical location impact reimbursement negotiations between payers and providers?

Download Who Pays for Out-of-Network – Payers or Providers?, our free guide for understanding this critical issue and how it affects payers seeking to control out-of-network expenses. Or contact us today at 404.480.5954 to learn more about how we can help your organization better navigate these continuing challenges caused by the No Surprises Act.


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