# Healthcare Costs, IDR and the No Surprises Act: David Merritt on What’s Driving Affordability Pressures Page: https://stenobird.com/podcast/becker-s-healthcare-podcast-484089/healthcare-costs-idr-and-the-no-surprises-act-david-merritt-on-what-s-driving-affordability-pressures Text version: https://stenobird.com/podcast/becker-s-healthcare-podcast-484089/healthcare-costs-idr-and-the-no-surprises-act-david-merritt-on-what-s-driving-affordability-pressures.md Podcast: [Becker’s Healthcare Podcast](https://stenobird.com/podcast/becker-s-healthcare-podcast-484089) Published: 2026-09-07T10:00:00+00:00 Episode link: https://podcast.show/beckershealthcarepodcast/episode/155281945/ Audio file: https://media.blubrry.com/beckershealthcarepodcast/ins.blubrry.com/beckershealthcarepodcast/BKR_HC_Payer_David_Merritt_P_9-7-26_RD1.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/becker-s-healthcare-podcast-484089/episodes/healthcare-costs-idr-and-the-no-surprises-act-david-merritt-on-what-s-driving-affordability-pressures Duration seconds: 1455 ## Resource In this episode, David Merritt, Senior Vice President of External Affairs at the Blue Cross Blue Shield Association, discusses rising healthcare costs, employer affordability pressures and the growing impact of the No Surprises Act’s IDR process. He also outlines potential reforms to curb excessive awards, increase transparency and slow premium growth. ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/becker-s-healthcare-podcast-484089/episodes/healthcare-costs-idr-and-the-no-surprises-act-david-merritt-on-what-s-driving-affordability-pressures/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/becker-s-healthcare-podcast-484089/healthcare-costs-idr-and-the-no-surprises-act-david-merritt-on-what-s-driving-affordability-pressures.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.