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Even More Disputes, Even Higher Costs: The Latest IDR Warning Signs

Oct 7, 2026 | Arbitration, Blog Post

After a new federal rule slashed the administrative fee for initiating IDR disputes by 87% — from $115 to just $15, nearly 400,000 disputes were initiated in July 2026 alone. This 24% jump in just one month is one of the latest signals that the IDR process has veered...

The Ripple Effect of Runaway Arbitration Awards: Fewer In-Network Docs, Higher Premiums

Oct 6, 2026 | Arbitration, Blog Post

A new working paper from the National Bureau of Economic Research finds that the No Surprises Act’s arbitration process is incentivizing providers to go out-of-network and driving higher premiums. The economists estimate that the undue costs of the independent dispute...

ICYMI: Employers Warn IDR Abuse Is A Major Affordability Problem

Sep 29, 2026 | Arbitration, Blog Post

Extreme and inflationary independent dispute resolution (IDR) awards are forcing employers to pay more for healthcare, according to a new analysis from The ERISA Industry Committee (ERIC). This latest report underscores how far the No Surprises Act’s IDR process has...

$+22 Billion in Added Costs, and Growing Consensus That Congress Must Act on IDR

Sep 22, 2026 | Arbitration, Blog Post

Certain out-of-network providers’ abuse and misuse of arbitration have become a $22 billion affordability crisis, according to recent government data analyzed by Georgetown researchers. Excessive independent dispute resolution (IDR) costs have translated directly into...

Latest Paragon Analysis Strengthens the Case for IDR Reform 

Sep 17, 2026 | Arbitration, Blog Post

A new Paragon Health Institute analysis urges Congress to reform IDR and address the misaligned incentives driving up costs for employers and consumers. The paper builds on mounting evidence of excessive arbitration awards and limited oversight, citing an estimated...

ICYMI: How Arbitration Blew a $40 Million Hole in San Antonio’s Budget

Aug 27, 2026 | Arbitration, Blog Post

The city of San Antonio is $40 million over its employee healthcare budget this year following costly misuse and abuse of the independent dispute resolution (IDR) process by a handful of out-of-network providers. New reporting from the San Antonio Express-News details...
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Recent Posts

  • Even More Disputes, Even Higher Costs: The Latest IDR Warning Signs
  • The Ripple Effect of Runaway Arbitration Awards: Fewer In-Network Docs, Higher Premiums
  • Latest CASMB Ad Campaign Calls on Congress & White House to Tackle IDR Affordability Crisis Facing Employers, Consumers
  • ICYMI: Employers Warn IDR Abuse Is A Major Affordability Problem
  • $+22 Billion in Added Costs, and Growing Consensus That Congress Must Act on IDR

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