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Published on: March 1, 2019
Independent dispute resolution process: no cure for the rate issue.
1Murphy Austin Adams Schoenfeld LLP, Sacramento, Calif., USA. ffedor@murphyaustin.com
California's new independent dispute resolution process for noncontracted emergency services is ineffective. Hospitals find it a nonstarter as it fails to establish legal precedent for valuing these services.
Area of Science:
- Healthcare policy
- Health economics
Background:
- California enacted a pilot independent dispute resolution (IDR) process starting February 1st.
- This process aims to address underpayments for noncontracted emergency services.
Purpose of the Study:
- To evaluate the effectiveness of California's new IDR process for noncontracted emergency services.
- To determine if the process can resolve disputes regarding the valuation of these services.
Main Methods:
- Analysis of the newly implemented California IDR process.
- Assessment of the process's capacity to establish legal precedent for service valuation.
Main Results:
- The IDR process is deemed a "nonstarter" for hospitals.
- The process is incapable of establishing the necessary legal precedent for service valuation.
Conclusions:
- California's pilot IDR process for noncontracted emergency services is currently ineffective.
- The process fails to provide a sustainable solution for determining fair payment for emergency care.
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