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Recap: New Surprises, New Challenges: Confronting Fraud & Abuse of the No Surprises Act
The continued abuse and misuse of the Independent Dispute Resolution (IDR) process — and its growing associated costs — has become an untenable expense for millions of Americans and employers. Following the release of the recent IDR operations rule, members and...
ICYMI: New York Times: “$22,000 Per Hour: Assistants Use a Legislative Loophole to Outearn Surgeons”
The surgeon who operated on a cancerous prostate gland earned $1,843. The assistant who handed him the instruments earned $50,456. Welcome to arbitration under the No Surprises Act. New York Times reporters Margot Sanger-Katz and Sarah Kliff did another deep dive into...
New CBO Request Is Latest Signal IDR Has Gone Very Wrong
When the Congressional Budget Office (CBO) puts out a public call for new research on the cost impacts of the No Surprises Act, it’s the latest signal that the law’s arbitration process, also known as Independent Dispute Resolution (IDR), has veered far off course. In...
CASMB Statement on Final IDR Operations Rule
WASHINGTON, D.C. — Following the release of the final Independent Dispute Resolution (IDR) operations rule, the Coalition Against Surprise Medical Billing (CASMB) issued the following statement: “Today’s final rule takes initial steps toward greater transparency and...
ICYMI: STAT: “This spine surgery usually costs $1,400. Under NSA’s arbitration? $34,000.”
STAT’s Tara Bannow did a deeper dive into the extreme and exorbitant arbitration awards that are compounding the healthcare affordability crisis facing employers and Americans. Her latest story builds on the ongoing reporting from STAT, New York Times, Bloomberg, and...
‘Oh, Cluck’: New Ad Campaign Spotlights Costly Abuse of Surprise Billing Law
'Fox Guarding the Hen House’ Leading to Abuse of IDR Process at Americans’ Expense Washington, D.C. – As abuse and misuse of the No Surprises Act continues from some private equity-backed and out-of-network providers, a new ad campaign highlights how misaligned...
ICYMI: New York Times Investigation Exposes How Out-of-Network Providers Are Exploiting the IDR Process to Extract Runaway Reimbursement
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
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 details...
ICYMI: New Health Affairs Data Shows IDR Costs and Volume Surging in First Half of 2025
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”
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...