A new report from CMS on the No Surprises Act's (NSA) independent dispute resolution (IDR) process provides staggering details. Notably, from April 15, 2022 until this past March 31, 334,828 IDR claims were initiated. Compare that number to the Biden administration's estimate “that there will be approximately 17,000 claims that are submitted to the Federal IDR process each year.” Despite this completely incompetent forecasting (see here for Rep. Michael Burgess (R-TX) reminding HHS Secretary Xavier Becerra that Texas alone had 45,000 claims for its state IDR process in its first year before the No Surprises Act was even in effect), something else is afoot upon reading the report further.
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