The No Surprises Act was designed to protect patients from unexpected medical bills while creating an independent dispute resolution (IDR) process to help providers and insurers resolve payment disputes. But has the system delivered on those expectations?
In this episode of Podnosis, Patrick Velliky, chief external affairs officer at HaloMD, discusses how providers expected an arbitration process built on good-faith participation from both sides and fair, sustainable reimbursement decisions from independent reviewers. He explains why concerns have emerged around arbitration award payments, including delayed reimbursement and limited enforcement mechanisms, despite legally binding outcomes.
The conversation also explores proposed legislative solutions, the role of regulators, and the broader implications for independent physician practices. Velliky shares his perspective on how ongoing payment challenges may contribute to industry consolidation and why preserving practice choice remains important for physicians and patients alike. Click play to hear the full discussion.
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