In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison at Zotec Partners, welcomes Dr. Eliot Goldner, an emergency medicine physician in Orlando, Florida, and board member of the Florida College of Emergency Physicians, to answer the question: Why is the IDR process different in Florida, and how has it evolved due to recent advocacy efforts? Together, Ed and Dr. Goldner explain how Florida’s state-specified law fits within the No Surprises Act, why the federal IDR process acts as a backstop when no state process applies, and how Florida physicians worked together to address payer opt-outs that were limiting access to the state dispute resolution process. They also discuss the power of coordinated advocacy across emergency medicine, radiology, anesthesia, and other hospital-based specialties to protect fair reimbursement, strengthen physician voices, and support the business of healthcare.
In this Zotec Answers episode, Ed Gaines and Dr. Eliot Goldner break down Florida’s out-of-network claims dispute process, how it differs from the federal No Surprises Act IDR process, and why recent advocacy efforts matter for physicians and clinicians.
Key topics include:
Ed and Dr. Goldner also highlight the importance of continued vigilance as insurers, regulators, and lawmakers respond to evolving No Surprises Act implementation.
As the November 3 midterm elections approach, listeners can access Zotec’s free, nonpartisan Election Center by clicking here or by texting ZPVOTE to 50457 to review voter registration information, ballot details, polling locations, and more.
Related listening: For more on the No Surprises Act and physician reimbursement, listen to our previous Zotec Answers episode, “Who Is Really ‘Gaming’ Who in the NSA?”