# No Surprises Act Four Years Later: Payment Delays, Enforcement, and Independent Practice Page: https://stenobird.com/podcast/becker-s-healthcare-podcast-484089/no-surprises-act-four-years-later-payment-delays-enforcement-and-independent-practice Text version: https://stenobird.com/podcast/becker-s-healthcare-podcast-484089/no-surprises-act-four-years-later-payment-delays-enforcement-and-independent-practice.md Podcast: [Becker’s Healthcare Podcast](https://stenobird.com/podcast/becker-s-healthcare-podcast-484089) Published: 2026-07-21T10:00:00+00:00 Episode link: https://podcast.show/beckershealthcarepodcast/episode/154434299/ Audio file: https://media.blubrry.com/beckershealthcarepodcast/ins.blubrry.com/beckershealthcarepodcast/BKR_HC_HaloMD_Sponsored_P_7-21-26_RD1.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/becker-s-healthcare-podcast-484089/episodes/no-surprises-act-four-years-later-payment-delays-enforcement-and-independent-practice Duration seconds: 795 ## Resource In this episode, Patrick Velliky, Chief External Affairs Officer, HaloMD, discusses how the No Surprises Act has improved patient protections while ongoing delays in arbitration payments continue to create financial challenges for providers. He also explores the need for stronger enforcement, the impact on independent physician practices, and what comes next for the law. This episode is sponsored by HaloMD . ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/becker-s-healthcare-podcast-484089/episodes/no-surprises-act-four-years-later-payment-delays-enforcement-and-independent-practice/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/becker-s-healthcare-podcast-484089/no-surprises-act-four-years-later-payment-delays-enforcement-and-independent-practice.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.