"[R]ecent developments underscore a central reality -- while the NSA has succeeded in shielding patients from balance billing for NSA-covered claims, the system operating behind the scenes remains under significant strain and, contrary to congressional intent, is driving up health care costs and creating unintended incentives for certain provider types to remain, or otherwise become, an out-of-network provider. Regulators are aware of these issues and are considering additional actions to address them, but meaningful resolution will likely require additional oversight, rulemaking, and potentially further clarification by the courts."  MORE >>