IDR Proposal Could Diminish Physicians’ Leverage
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Gov. Kathy Hochul’s proposed overhaul of New York’s Independent Dispute Resolution process is sparking a debate between health insurers and providers. The proposal could save $56 million by removing Medicaid claims from the IDR process and setting fixed reimbursement rates for out-of-network physicians. Medical Society of the State of New York Executive Vice President Dr. Thomas Lee noted that the changes could take away the only leverage that physicians have in dealing with insurers and limit access to care.
“I am for choices and quality access to care. I want patients to have a choice to see a provider they like, in their community. You need to give them a little bit of the remaining leverage; the only leverage that they have is through the IDR process,” Dr. Lee said.
Full Story: Politico (3/9)
