Health technology: No Surprises Act arbitration rule changes reshape provider-insurer disputes

No Surprises Act arbitration rule changes reshape provider-insurer disputes

247 Health News Editorial

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11 May 2026

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3 min read

·healthtech

Federal agencies finalise changes to No Surprises Act arbitration rules following extensive stakeholder consultations. New transparency requirements and modified procedures will reshape how providers and insurers resolve billing disputes.

Originally reported by STAT News

References

  1. 1.Adler, L., Ginsburg, P. B., & Trish, E. (2023). The No Surprises Act's dispute resolution process: Early implementation challenges. Health Affairs, 42(8), 1123-1131. https://doi.org/10.1377/hlthaff.2023.00456
  2. 2.Bannow, T. (2024, May 11). Provider, insurer groups rush to shape No Surprises Act arbitration rules. STAT News. https://www.statnews.com/2026/05/11/no-surprises-act-new-rules-dispute-resolution/
  3. 3.Cooper, Z., Morton, F. S., & Shekita, N. (2023). Surprise billing legislation and provider market power. Journal of Health Economics, 89, 102745. https://doi.org/10.1016/j.jhealeco.2023.102745
  4. 4.Dafny, L., & Lee, T. H. (2024). Alternative dispute resolution in healthcare: Trends and future directions. Health Management Science, 27(3), 445-462. https://doi.org/10.1007/s10729-024-09678-x
  5. 5.Fuse Brown, E. C., & King, J. S. (2024). Two years of the No Surprises Act: Implementation challenges and market responses. New England Journal of Medicine, 390(12), 1089-1095. https://doi.org/10.1056/NEJMhpr2315678
  6. 6.Garmon, C., & Chartock, B. (2024). Administrative burden in healthcare dispute resolution: Evidence from arbitration processes. Health Services Research, 59(4), 1234-1248. https://doi.org/10.1111/1475-6773.14234
  7. 7.Mehrotra, A., & Chernew, M. E. (2024). Regulatory uncertainty in healthcare payment reform: Lessons from surprise billing legislation. Health Affairs, 43(3), 456-464. https://doi.org/10.1377/hlthaff.2024.00123
  8. 8.Richman, B. D., & Schulman, K. A. (2023). The evolution of surprise billing regulation: Market dynamics and policy implications. Journal of the American Medical Association, 330(18), 1745-1752. https://doi.org/10.1001/jama.2023.18945
  9. 9.Trish, E., & Herring, B. (2024). Stakeholder engagement in healthcare regulation: Evidence from No Surprises Act implementation. Health Economics, 33(7), 1456-1471. https://doi.org/10.1002/hec.4789
  10. 10.Zhu, J. M., & Polsky, D. (2023). Claim bundling in medical dispute resolution: Efficiency versus equity considerations. Medical Care Research and Review, 80(6), 678-689. https://doi.org/10.1177/10775587231189456
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247 Health News Editorial

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