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New Study: No Surprises Act Prevented Over Two Million Potential Surprise Bills for Insured Americans

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AHIP and Blue Cross Blue Shield Association (BCBSA) released a survey and analysis which found that in the first two months of 2022, the No Surprises Act (NSA) prevented more than two million potential surprise medical bills across all commercially insured patients. The analysis also found that should this trend hold, more than 12 million surprise bills will be avoided in 2022.

“The No Surprises Act ended the practice of surprise medical billing in most circumstances, providing relief for millions of patients who faced surprise medical bills they did not expect at prices they could not afford,” said Matt Eyles, AHIP president and CEO.

Among other provisions, the NSA established a process for resolving disagreements on what a health plan will pay the out-of-network provider or facility, culminating in independent dispute resolution (IDR). Since taking effect at the beginning of 2022, a key question of interest to federal policymakers has been how many claims may be disputed through IDR each year and what impact that will have on the affordability of health care. The findings of the AHIP-BCBSA survey provide critical information which demonstrates how many patients and consumers have already benefited from the NSA and how important the current IDR process will be in establishing predictability in overall costs.

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