Becker’s Healthcare Podcast The Next Chapter of IDR: Trends, Metrics, and Strategies for Providers
Dec 4, 2025
In this discussion, Patrick Vallicky, Chief External Affairs Officer at HaloMD, shares his expertise on independent dispute resolution (IDR) in healthcare. He reveals that providers win IDR cases about 80% of the time, highlighting its power in securing fair rates. Vallicky outlines financial risks for the upcoming year and emphasizes how IDR can improve payer negotiations and reduce arbitration costs. He also warns that many hospitals are underusing IDR opportunities, pointing to its potential to drive growth and stabilize revenue in the healthcare system.
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Career Path From Capitol Hill To HaloMD
- Patrick Vallicky described his career from Capitol Hill to payer and hospital roles before joining HaloMD.
- He joined HaloMD about two and a half months ago to bring IDR solutions to clients.
IDR Outcomes Favor Providers
- CMS public use files show providers win IDR roughly 80% of the time.
- This consistency suggests IDR yields fair, sustainable rates for providers and facilities.
Plan Budgets For Rising Uncompensated Care
- Anticipate increased uncompensated care and worse payer mix when budgeting next year.
- Use IDR to help close revenue gaps and review subsidy arrangements with contracted provider groups.