Halo MD

The insurance industry argues the No Surprises Act unfairly favors providers. The data tells a different story.

In a new analysis, Patrick Velliky, Chief External Affairs Officer at HaloMD, examines the volume claims insurers have built their narrative on and finds the math does not support them.

Of the roughly 19.7 million commercial claims subject to the NSA in 2025, only 6.2% were submitted to Independent Dispute Resolution. After eligibility determinations and provider wins, insurers were required to pay more than their initial offer in just 4.4% of NSA-covered claims.

The real insurer win rate is over 95%.
IDR is being used judiciously, initiated by providers correcting documented underpayments, not as the runaway process insurers describe. Strengthening the No Surprises Act means streamlining the process and enforcing compliance, including passage of the NSA Enforcement Act (H.R. 4710 / S.2420).

Read the full analysis from Patrick: https://hubs.la/Q04dWK8P0

Insurers Prevail Under the No Surprises Act Framework over 95% of the Time. The insurance industry wants policymakers to think the NSA unfairly favors doctors. Their own data proves otherwise.

HaloMD Expands Executive Leadership to Further Strengthen Industry Leading Data, Technology, and Compliance Operations as Independent and Rural Providers Continue to Face Operational Risk

HaloMD is accelerating its enterprise growth trajectory with the addition of three proven leaders across data strategy, integration, and legal operations. As independent and rural providers continue to face mounting financial and operational pressure, the market is turning to HaloMD for scalable intelligence, regulatory clarity, and predictable reimbursement solutions under the No Surprises Act.

By bringing in Nirnay Patel, Dan Heinmiller, and Brandon Huber, we’re further advancing the rigor, governance, and infrastructure required to support healthcare organizations operating in increasingly volatile reimbursement environments.

This leadership expansion reflects the heightened demand for next-generation data ecosystems, integrated operational workflows, and deep regulatory alignment — all foundational to sustainable performance for practices and hospitals nationwide.

Read the full announcement: https://hubs.la/Q03X6ztg0