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The No Surprises Act was originally structured to incentivize doctors and insurers to agree on reasonable prices, but as a last resort, billing disputes are sent to an arbitrator who picks either the doctor’s or insurer’s bid.

How a law to protect patients from surprise billing shifted the cost to employers

The 2020 No Surprises Act shielded patients from big emergency care bills and set up arbitration to resolve payment disputes. But now the costs are landing on employers.
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