"Health plan sponsors continue to report issues navigating the IDR process and tend to pay significantly more for [out-of-network (OON)] services under the IDR process than if in-network rates applied.... Sponsors of fully insured plans are unlikely to have control over the IDR process because the insurer is responsible. Sponsors and fiduciaries of self-insured plans may want to request regular reporting from the plan's third-party administrator (TPA), if applicable, about the plan payments through the IDR process[.]"  MORE >>