Surprise Billing Update – Legislative Scenarios & PPM/Physician Staffer Impacts – 13 October 2021

  • Private Equity
  • Healthcare
  • North America


Former manager at UnitedHealth Group Inc


  • Historical context on US surprise billing legislative initiatives leading to policy initiatives from Trump and Biden administrations
  • Trickle-down impact on staffer and PPM (physician practice management) business models from No Surprises Act and potential hit to revenues from future uncollected out-of-network procedure bills
  • Dispute resolution process and benchmark reimbursement analysis for in- vs out-of-network negotiations
  • Staffers' ability to weather regulatory headwinds and implications of in-network contracts on revenues
  • 2022 physician staffing sector outlook, strategic assessments and scenario analysis post-2022 midterm elections


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