“Shared savings fees,” which are sometimes known by different names depending upon the health insurance companies administering them, relate to out-of-network medical claims, and they contribute to the ever-increasing costs for essential healthcare.
- Center for Innovation and Free Enterprise
“Shared savings fees” purport to offer a way for employers to save money by lowering out-of-network health insurance costs. However, in reality, these programs often impose hidden fees that instead drive-up premiums, with questionable benefit to plan sponsors and employees.
- The American Consumer Institute Center for Citizen Research
If shared savings fees persist under the guise of “administrative fees,” however, they will continue creating a perverse incentive for insurers to narrow their networks.
- Consumer Choice Center
The Biden Administration has to date ignored the intent of the law [No Surprises Act] and implemented it in a way that fails to protect patients from continued unnecessary insurance costs. Despite creating a new framework for determining out-of-network reimbursement, some insurance companies appear to continue exploiting unnecessary and little-known “shared savings fees” that drive up costs for employers and their employees.
- Consumer Action for a Strong Economy
We urge you to require transparency and disclosure to employers concerning these fees so that patients and plan sponsors can realize the same form of savings from the No Surprises Act.
- Domestic Policy Caucus
We urge the Department of Labor (DOL) to require transparency and disclosure to employers regarding so-called “shared savings fees” under employer-sponsored health plans to better ascertain their propriety and impact on millions of Americans.
- Center for Individual Freedom
We therefore strongly urge DOL to require transparency and disclosure to employers with respect to clarity about shared savings fees under employer-sponsored health plans and determine their effect and propriety going forward.
- Center for a Free Economy