Protect and Support New Yorkers Access to Care
Reject Adverse Changes to NYS Independent Dispute Resolution Process
What is the IDR Process?
The Independent Dispute Resolution (IDR) process was created by New York’s highly successful Surprise Bill Law in 2014 to protect patients from surprise bills and resolve payment disputes between health plans and healthcare providers.
Why Should the IDR Not Be Altered in the 2027 Budget?
The current IDR process is a fair process that works well to settle disputes between insurers and healthcare providers and has ensured that New Yorkers continue to have access to emergency and specialty care, especially in rural areas.
Since 2015, New York’s successful IDR process has served our state’s patients well…let’s protect it!
What Are The Benefits of Maintaining the Current IDR Process?
Supports Healthcare Access To Vulnerable Populations.
Ensures Specialty Physician On-Call Services at Community Hospitals.
Independent Reviews Promote Fairness in Dispute Resolution.
Reduces the Need for Litigation and Administrative Burdens.
Ensures High Quality of Care for New Yorkers.
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More Reasons to Reject the Elimination of the IDR Process from Medicaid Managed Care
Ensures Access To Healthcare
IDR ensures an adequate network of healthcare providers are on-call and available to all New Yorkers, continuing access to necessary and often lifesaving services.
Promotes Long-Term Stability
A stable and predictable IDR process is essential for the long-term health of the healthcare system, fostering trust and cooperation among stakeholders.
The IDR Is Fair
The IDR process is a middle ground that prevents extreme outcomes (patients facing huge bills or providers receiving inadequate payments) and has worked well in New York State since 2015.
"Baseball-Style" Arbitration
The “final offer” arbitration format incentivizes both parties to submit reasonable offers, promoting good faith negotiations.
Reduces the Need for Litigation
The IDR process provides a cost-effective alternative to lengthy and expensive court battles, reducing legal expenses for both healthcare providers and health insurers.
In The Media
Repealing State’s IDR Process for Medicaid Managed Care Plans Will Destroy Healthcare Benefits for More Than One in Five New Yorkers
The biggest threat to New Yorkers with Medicaid isn’t coming from Washington
Viewpoint: Weakening New York’s No Surprises law will hurt patients across the state
Legislature rejects Hochul’s surprise billing reforms, siding with doctors and hospitals