Data: Most IDR Pay Determinations In First Half Of 2023 Were Higher Than QPA

Providers or facilities prevailed in 77% of the payment determinations made under the No Suprise Act’s independent dispute resolution (IDR) process and most of the winning offers (82%) were higher than the qualifying payment amount (QPA), or the median in-network rate, for those services in the first half of 2023, according to new data unveiled by the administration. The data further show that parties initiated a large volume of disputes from Jan. 1 through June 30, 2023, but the certified...