Blogs | HealthlinkDimensions

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

Written by Daniel Weinbach | Feb 22, 2023 5:00:00 AM

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.