CHA submitted comments to the departments of Health and Human Services, Labor, and Treasury (tri-agencies) on their proposed changes to the No Surprises Act independent dispute resolution (IDR) fees. This was in response to the recent court ruling that found the tri-agencies’ approach to setting the administrative fee was impermissible.
In the letter, CHA asks the tri-agencies to refund excessive IDR administrative fees to each provider and health plan who participated in the IDR process and pay the administrative fees from Jan. 1 to Aug. 3. CHA also asks the agencies to reopen the window to initiate an IDR dispute for providers and health plans related to claims that would have been eligible for the IDR process from Jan. 1 to Aug. 3. The goal is to ensure that claims that were priced out of the IDR process due to an impermissibly set fee have an opportunity to be resolved equitably and for appropriate payment to be determined.
CHA also offered comments on the proposed methodology used to calculate the administrative fee and the considerations used to develop the certified IDR entity fee ranges.