Neonatology Pricing and Network Participation Under State Balance Billing Regulations
The federal No Surprises Act, which went into effect in 2022, has allowed state regulations to continue to govern fully insured plans. We found substantial variation in the effects of state laws on pricing for neonatology services. There was no consistent evidence that state policies influenced prices or network participation of neonatology clinicians.
Authors
- Wendy Xu (ORCID: https://orcid.org/0000-0002-7142-6784)
- Sheldon M. Retchin (ORCID: https://orcid.org/0000-0003-3816-3529)
- Christopher Garmon (ORCID: https://orcid.org/0000-0001-9767-7381)
- Yiting Li (ORCID: https://orcid.org/0000-0003-3414-8233)
Institutions
- The Ohio State University (US)
Publication Details
- Journal
- The American Journal of Managed Care
- Published
- 2025-10-01
- DOI
- https://doi.org/10.37765/ajmc.2025.89806
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00