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ICYMI: New York Times Investigation Exposes How Out-of-Network Providers Are Exploiting the IDR Process to Extract Runaway Reimbursement 

Apr 22, 2026 | Arbitration, Blog Post

A new investigation from New York Times details how certain out-of-network providers have “flooded the arbitration system with millions of claims” under the No Surprises Act’s Independent Dispute Resolution (IDR) process—often “collecting fees hundreds of times higher...

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...
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Recent Posts

  • ICYMI: How Arbitration Blew a $40 Million Hole in San Antonio’s Budget
  • IDR Is Now A +$22.4 Billion Problem
  • ICYMI: Mercer: “On the Hill, Employers Sound the Alarm on IDR”
  • ICYMI: New York Times Lays Out Why Arbitration Works for Baseball but Not for Healthcare
  • Niskanen Center: “New data, same problem: No Surprises Act arbitration abuse persists”

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