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Nutex Health Saw Financial Upside “Exploiting” the Arbitration Process & Exposed A New Surprise Billing Business Model

Jul 23, 2025 | Arbitration, Blog Post

While the No Surprises Act successfully protects patients from unexpected medical bills, Nutex Health’s approach reveals how the law’s arbitration process, also known as the Independent Dispute Resolution (IDR), can be exploited for financial gain. The implications...

ICYMI: Arbitration Roulette—When Outcomes Depend on the Arbitrator, Not the Facts

Jul 15, 2025 | Arbitration, Blog Post, Private Equity

A new Health Affairs article published by researchers at Georgetown University’s Center on Health Insurance Reforms and released as a companion article to an earlier analysis, highlights alarming inconsistencies in how arbitrators are resolving payment disputes under...

ICYMI: Private Equity-Backed Providers and Profit-Enhancing Middlemen Have Made Manipulating the IDR Process a Business Model

Jun 30, 2025 | Arbitration, Blog Post, Private Equity

Certain health care providers—particularly large, private equity-backed groups—are increasingly dominating the federal Independent Dispute Resolution (IDR) process established under the No Surprises Act, according to new data from the Centers for Medicare &...

Surprise, Surprise – Some Providers Are Still Surprise Billing Patients Despite Federal Ban

Feb 11, 2025 | Arbitration, Blog Post

New data from the Center for Medicare & Medicaid Services (CMS) on implementation of the No Surprises Act (NSA) found that some providers are still attempting to balance bill patients and continue to submit ineligible, incomplete, or incorrect claims to the...

CASMB Urges Trump Administration To Fix Flawed Arbitration Process

Jan 24, 2025 | Arbitration, Blog Post, Private Equity

Before the passage of the No Surprises Act, too many patients experienced the costly burden of surprise medical bills. President Trump signed this landmark law in December 2020, and since it took effect in January 2022, it is preventing approximately 1 million...

ICYMI: New Analysis from Brookings Underscores How Private Equity Is Overwhelming Arbitration

Nov 19, 2024 | Arbitration, Blog Post, Private Equity

Certain private equity-backed providers are flooding the federal arbitration process with thousands of frivolous and ineligible claims, according to a new analysis from Brookings Institution researchers published in Health Affairs. The latest assessment confirms that...
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Recent Posts

  • Private Equity Plays Both Sides of the No Surprises Act — and Patients Are Paying the Price
  • HaloMD and IDR Middlemen Exploiting the No Surprises Act  
  • ICYMI: New Survey Shows IDR Loopholes Are Fueling Wasteful Spending on Ineligible Surprise Billing Claims
  • CollectionPro: The Latest IDR Middleman Exploiting the No Surprises Act
  • Growing Pains & Gridlock: Why the No Surprises Act Arbitration Process Needs Course Correction

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