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The Benchmark That Keeps Losing: What Federal Arbitration Is Revealing About the Qualifying Payment Amount
Andrew M Klapper1, Anthony N Dardano1, Michael Risin1
1Plastic and Reconstructive Surgery, Delray Medical Center, Delray Beach, USA.
Cureus
|August 12, 2026
Summary
The No Surprises Act
Area of Science:
- Healthcare policy
- Health economics
- Dispute resolution
Background:
- The No Surprises Act established federal independent dispute resolution (IDR) processes.
- Qualifying payment amounts (QPAs) are central to determining payment in IDR.
- Current interpretations and processes raise concerns regarding fairness and efficiency.
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