保险公司于2026年1月开始向医院收取网络外转诊费用,以减少"无惊喜法"争议,引发了对患者费用和医院压力的批评. Insurers began charging hospitals fees for out-of-network referrals in Jan. 2026 to cut No Surprises Act disputes, sparking criticism over patient costs and hospital strain.

2026年1月,保险公司,包括 " 高健康 " 保险公司开始收取医院行政费,以将病人转诊到网络外的提供者,此举旨在减少《无意外法》之下的争端。 Insurance companies, including Elevance Health, began charging hospitals administrative fees in January 2026 for referring patients to out-of-network providers, a move aimed at reducing disputes under the No Surprises Act. 这笔费用是在独立的争端解决案件激增之后支付的——2025年几乎达到200万,远远超过预计的18 000名主要保险人,声称他们损失了约80%的谈判。 The fees come after a surge in independent dispute resolution cases—nearly 2 million in 2025, far exceeding the projected 18,000—leading insurers to claim they lost about 80% of negotiations. 批评者,包括印第安纳参议员斯科特·鲍德温(Scott Baldwin),认为费用向病人转移、损害医院财政,并可能迫使医院避免独立医生,从而降低竞争。 Critics, including Indiana Senator Scott Baldwin, argue the fees shift costs to patients, harm hospital finances, and may force hospitals to avoid independent doctors, reducing competition. 委员会讨论了一项禁止收费的法案,但未取得进展。 A bill to ban the fees was discussed in committee but did not advance.