Federal Independent Dispute Resolution
Jacob Guorgui, Lisa M. Knowlton · 2026
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Description
Jacob Guorgui and Lisa Knowlton study how often surgeons figure in federal pay disputes under the No Surprises Act, in a 2026 paper. The 2022 law set up an arbitration route for out-of-network bills, meant to curb surprise charges from fields that often work out of network. Reports had painted surgeons as major drivers of that dispute traffic. Yet about a fifth of surgical episodes carry out-of-network claims even when the surgeon is in network, so the true role of surgeons was unclear.
The team mined federal dispute files from the start of 2023 to mid-2025 for emergency and non-emergency care. They flagged claims sent in by surgeons and sorted them into subspecialties using text fields and procedure codes. Their stated guess is that surgeons play a limited role in the disputes.
Catalog record
| CREATOR | Jacob Guorgui, Lisa M. Knowlton |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 7 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |