This playbook explores how to rethink the No Surprises Act and build a more resilient, forward-thinking payment integrity strategy. While the No Surprises Act (NSA) aimed to reduce surprise billing, its implementation has evolved into a complex web of litigation, regulatory shifts, and operational challenges — all anchored to a government-run portal. While many payers find themselves in a reactive cycle, addressing challenges as they come, a larger opportunity exists for strategic transformation. Rather than treating it as a series of one-off compliance tasks, health plans can leverage this mandate as a powerful catalyst for innovation. This playbook explores how emerging trends are reshaping payers’ 2026 strategies. A flexible, resilient approach is necessary in this shifting landscape. Highlights include: The latest NSA updates, including upcoming regulations and key trends in Independent Dispute Resolution (IDR). Why health plans are significantly affected by — and often unprepared for — ongoing NSA changes and market uncertainty. How to achieve end-to-end transformation and leverage the NSA as a catalyst for innovation.
