ASA Calls on Biden Administration to Address Insurers’ “Shared Savings” Schemes

Today, the ASA joined with the American College of Radiology and the American College of Emergency Physicians to urge key federal agencies to address profiteering schemes known as “Shared Savings.”  Under these payment arrangements, third party administrators/insurers (TPA) are incentivized to not only cut payments to physician practices, but also push practices out-of-network. According to an April 7, 2024, New York Times expose, TPA use “shared savings” fees to enrich themselves by millions of dollars at the expense of physicians and patients.  ASA, ACRA and ACEP specifically ask the agencies to prohibit the involvement of TPAs in No Surprises Act-related claims.