PBGH Expects More Arbitration, Higher Premiums Without IDR Guidance

Arbiters’ payment decisions are likely to vary widely in the short term due to federal District Judge Jeremy Kernodle’s decision to vacate pieces of the administration’s October interim final rule on surprise billing, but providers will eventually make their way to the most sympathetic independent dispute resolution entities and health care premiums are likely to increase in the long term, predicts a business group that supported the administration in the case. The Purchaser Business Group on Health (PGBH), which represents...