Margot Sanger-Katz

Health Care Reporter, The New York Times · Person

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Margot Sanger-Katz - Health Care Reporter, The New York Times. Tracked across 13 mentions in podcasts and expert conversations analyzed by Sonic.

What Margot Sanger-Katz has said

Margot Sanger-Katz predicts the number of arbitration cases under the No Surprises Act will continue to rise and proliferate nationwide.

bearish·Margot Sanger-Katz

In the first half of 2023 alone, more than one million claims were brought to arbitration under the No Surprises Act, far exceeding initial government estimates.

bearish·Margot Sanger-Katz

Under the No Surprises Act arbitration system, some gynecologists have been paid 600 times the average price for placing IUDs.

bearish·Margot Sanger-Katz

Margot Sanger-Katz predicts the number of arbitration cases under the No Surprises Act will continue to rise and proliferate nationwide.

SpeculativeMargot Sanger-KatzMay 4

In the first half of 2023 alone, more than one million claims were brought to arbitration under the No Surprises Act, far exceeding initial government estimates.

Expert perspectiveMargot Sanger-KatzMay 4

Under the No Surprises Act arbitration system, some gynecologists have been paid 600 times the average price for placing IUDs.

Expert perspectiveMargot Sanger-KatzMay 4

In the last quarter for which data is available, doctors won 88% of arbitration cases under the No Surprises Act.

Expert perspectiveMargot Sanger-KatzMay 4

Insurers have filed approximately 20 lawsuits across the United States against medical practitioners they accuse of exploiting the No Surprises Act arbitration process.

Expert perspectiveMargot Sanger-KatzMay 4

Margot Sanger-Katz believes there is currently limited appetite in Congress to amend the No Surprises Act because the core consumer problem of patients receiving surprise bills has been solved.

Expert perspectiveMargot Sanger-KatzMay 4

The insurer Emblem Health, which sued Dr. Norman Rowe, has an average price of less than $10,000 for the same breast reduction procedure for which he was paid $440,000.

Expert perspectiveMargot Sanger-KatzMay 4

Federal officials initially estimated that 17,000 disputes would be decided through arbitration annually under the No Surprises Act.

Expert perspectiveMargot Sanger-KatzMay 4

The growth in arbitration cases is being driven by new "middleman" firms that specialize in managing the complex administrative process for doctors.

Expert perspectiveMargot Sanger-KatzMay 4

Dr. Norman Rowe, a plastic surgeon in the New York metro area, received payments of $440,000 for breast reduction surgeries through the No Surprises Act arbitration process.

Expert perspectiveMargot Sanger-KatzMay 4

Doctors successfully sued the Biden administration in a Texas court, overturning guidance that instructed arbitrators to prioritize the average in-network price when deciding payment disputes.

Expert perspectiveMargot Sanger-KatzMay 4

Prior to the No Surprises Act, surprise medical bills for patients could amount to thousands or tens of thousands of dollars.

Expert perspectiveMargot Sanger-KatzMay 4

Doctors and private equity firms that finance medical practices spent approximately $50 million on lobbying and advertising to influence the surprise billing legislation.

Expert perspectiveMargot Sanger-KatzMay 4

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