
No Surprises Act Reform Needed
While the No Surprises Act is helping Americans avoid surprise bills, it is fundamentally flawed and driving costs Since the No Surprises Act (NSA) was passed in late 2020 and went into effect beginning January 1, 2022, I have argued that the baseball-style arbitration process in the law is heavily stacked against health plans and favors providers. While the bill certainly stops Americans from receiving surprise bills, there is little question to me that the bill itself has and will continue to increase costs in the healthcare marketplace. A few new studies show the pros and cons of the bipartisan legislation. Let’s take a look at them. The pros As I note, the NSA has saved so many from exorbitant out-of-network (OON) bills. That is a good thing. While not every surprise bill has been stopped (e.g., ground ambulances), OON abusive billing for all emergency care and most surgery or procedures