Washington, D.C. (August 28, 2025) – FAH President and CEO Chip Kahn released the following statement on costs related to the No Surprises Act IDR process as published in Health Affairs.

“Insurers are costing Americans billions of health care dollars without improving care, and No Surprises Act IDRs show that. IDR disputes are necessary because insurers have long failed to pay doctors and hospitals the fair cost of needed care, and billions of dollars identified in this article simply reflect what should have been paid for services without a lengthy and expensive process in the first place. IDR decisions reflect the true cost of keeping Americans healthy and how dramatically inadequate insurers’ payments are.

“If insurance companies decide to increase premiums due to the cost of the IDR process, it is another example of how insurers pass on unnecessary administrative burden to patients and other insureds instead of using premium dollars for care.”