In First Quarter 2022, Relatively Sharp Increase in In-Network Care Occurred as the No Surprises Act Came into Effect
NEW YORK, Feb. 20, 2024 /PRNewswire/ -- In-network care increased across all professional specialties in facility settings from the first quarter of 2019 to the third quarter of 2023 nationally and in all regions. During that period, in-network care as a percentage of all claim lines increased 7.0 percent nationally, from 84.1 percent of claim lines in the first quarter of 2019 to 90.0 percent in the third quarter of 2023.1 The increase varied from 4.8 percent in the Northeast to 8.3 percent in the Midwest and South. From the fourth quarter of 2021 to the first quarter of 2022, a relatively sharp increase nationally (2.3 percent) and in all regions occurred across all specialties at the time the No Surprises Act (NSA) went into effect. These and other findings are reported in a FAIR Health white paper released today: In-Network and Out-of-Network Utilization and Pricing: A Study of Private Healthcare Claims.
- From the fourth quarter of 2021 to the first quarter of 2022, a relatively sharp increase nationally (2.3 percent) and in all regions occurred across all specialties at the time the No Surprises Act (NSA) went into effect.
- These and other findings are reported in a FAIR Health white paper released today: In-Network and Out-of-Network Utilization and Pricing: A Study of Private Healthcare Claims .
- On the federal level, the NSA went into effect on January 1, 2022.
- The increase in in-network care for specialties of interest from the first quarter of 2019 to the third quarter of 2023 was 4.7 percent, versus 7.0 percent for all specialties.