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A $440,000 Breast Reduction? How One Provider’s Playbook Exposes the IDR System’s Flaws

Apr 15, 2026 | Arbitration, Blog Post

A new lawsuit filed by EmblemHealth lays out one of the most shocking accounts of how an out-of-network provider has allegedly contorted the No Surprises Act’s Independent Dispute Resolution (IDR) into a personal ATM. The numbers are staggering. The complaint...

ICYMI: New Health Affairs Data Shows IDR Costs and Volume Surging in First Half of 2025

Mar 30, 2026 | Arbitration, Blog Post, Private Equity

A new analysis published in Health Affairs offers an early look at Q1-Q2 2025 data from the No Surprises Act’s federal Independent Dispute Resolution (IDR) process, finding that “the volume of cases submitted into the IDR process continues to exceed all expectations.”...

ICYMI: STAT News: “How a Texas couple is getting rich off out-of-network medical bills”

Mar 18, 2026 | Arbitration, Blog Post

HaloMD has emerged as one of the leading companies abusing and misusing the No Surprises Act, and a new investigation from STAT News details how the company and its founders have developed a playbook for securing lucrative payouts from the arbitration process, also...

Flawed Incentives Driving Up Costs for Consumers & Employers

Mar 11, 2026 | Blog Post, Private Equity

Abuse and misuse of the No Surprises Act’s independent dispute resolution (IDR) process is fueling the health care affordability crisis. One reason? The decision-makers at the center of the IDR process — known as IDR entities, or IDREs — benefit from misaligned...

Recent Report Details How Arbitration Could Become “Permanent Cost Escalator”

Feb 10, 2026 | Arbitration, Blog Post, Private Equity

When Congress passed the No Surprises Act, the goal was clear: protect patients from unexpected out-of-network medical bills. The law has largely succeeded in that regard, shielding patients from most surprise bills — especially large balance bills tied to emergency...

Abuse & Misuse of Arbitration Fueling Affordability Crisis

Jan 30, 2026 | Arbitration, Blog Post, Private Equity

The evidence of certain providers’ routine abuse and misuse of the No Surprises Act’s Independent Dispute Resolution (IDR) process, also known as arbitration, has been overwhelming. Recent lawsuits reveal repeated and persistent patterns of fraudulent IDR...
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Recent Posts

  • A $440,000 Breast Reduction? How One Provider’s Playbook Exposes the IDR System’s Flaws
  • ICYMI: New Health Affairs Data Shows IDR Costs and Volume Surging in First Half of 2025
  • ICYMI: STAT News: “How a Texas couple is getting rich off out-of-network medical bills”
  • Flawed Incentives Driving Up Costs for Consumers & Employers
  • ICYMI: Over 60 Organizations Call on Trump Administration to Fix Broken IDR Process

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