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Advocacy for Physicians

Rethinking the No Surprises Act: Advocacy from June to December of 2022

Since the implementation of the No Surprises Act, a biased IDR process which favors insurers has brought about robust advocacy from a variety of physician organizations. Many also have filed amicus briefs in support of various lawsuits against health insurance companies. Here are some examples of advocacy from the ASA, AHA, and AMA, among others, from July 2022 to the present.

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bias towards insurers

A Thumb on the Scale – The No Surprises Act’s Unfair Bias Towards the Insurance Industry

Since the conception of the No Surprises Act, concerned physician groups and advocacy efforts have centered around the fact that the law and its IDR process “place a thumb on the scale in favor of insurers.” Even with a final ruling in place to assuage these concerns, there are still issues surrounding the laws and their biases towards insurers. Below, find a collection of articles about the leverage health insurers use to underpay providers and financial proof of their unfair advantage, facilitated by details of the No Surprises Act.

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Allia Group Press Coverage

As Allia Group continues to fight to recover revenue related to insurance companies’ underpayments to hospitals, physician groups, and more, we will continue to regularly update this collection of our appearances in the news. Read on to learn more about our groundbreaking work and our efforts to improve revenue for providers that suffer from an unfair IDR process.

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idr process

Backlogged IDR Process

With thousands more claims than expected and long wait times causing providers delays in reimbursement, It’s no surprise that the No Surprises Act’s IDR process and its serious shortcomings have caused a strain in the US healthcare system, which could lead to major repercussions. In this blog, you will find a collection of challenges providers are facing at the mercy of a slow, cumbersome IDR process.

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nsa idr process flaw

Perceived Results of the No Surprises Act

The impact of the No Surprises Act can already be felt in emergency rooms and specialty practices across the country, as physician groups must deal with the way the NSA affects their practices’ revenue streams. From bankruptcy risk to emergency service closures, here are some examples of the serious outcomes of a flawed NSA and IDR process.

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evaluation of the qpa

Evaluation of the QPA in the No Surprises Act

Throughout the implementation and revisions of the No Surprises Act, the Qualifying Payment Amount, or QPA, has been the center of controversy. The insurer-controlled QPA rate allows insurance companies to underpay healthcare providers. Even with a final ruling in place, the challenges of the federal IDR process revolve around questionable practices which indirectly instruct arbitrators to favor the QPA. Learn more about the use of the QPA throughout revisions of the No Surprises Act, including the final ruling, in these articles.

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