Source: NYT > Business
The No Surprises Act, designed to protect patients from out-of-network billing shocks, instead created a lucrative arbitration scheme where insurers and providers split the difference on inflated charges. Doctors submit exorbitant bills—$440,000 for a breast reduction—knowing that arbitrators typically split disputed amounts rather than validate actual costs, rewarding both sides for inflating claims. Regulation that relies on neutral third parties without price anchors becomes a subsidy to whoever can afford to litigate, converting consumer savings into provider extraction.