Stop Surprise Medical Bills
Despite the success of the No Surprises Act, certain private equity-backed providers and arbitration middlemen are systematically manipulating the law’s arbitration process—known as independent dispute resolution (IDR)—to extract maximum payments from employers and patients. This ongoing misuse and abuse of the process—continued surges in arbitration filings, sky-high final payments that overwhelmingly favor providers, and growing use of third-party IDR firms—is raising alarms about the consequences for consumer premiums and health care affordability.
Our Mission
Members of the Coalition Against Surprise Medical Billing, which represent accountable care providers, leading employer groups, and health insurance providers and the tens of millions of people they employ and serve each day, support meaningful solutions to end surprise medical billing that would:
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- Protect patients and families from surprise medical bills sent by out-of-network providers;
- Maintain fair and equitable payments for providers with a benchmark standard based on local, competitive market-based rates; and
- Help reduce consumers’ health insurance premiums and taxpayers’ costs by avoiding an arbitration process that adds unnecessary cost, delay, and bureaucracy to the health system, and is particularly harmful for smaller companies.
The Problem
Surprise medical billing—also known as “balance billing”—made it harder for patients to afford necessary medical care, often when they least expected it. Now, with patient protections in place, certain private equity-backed providers and profit-enhancing middlemen are using the arbitration process as a business model to extract profits. This aggressive, profit-driven use of the arbitration process not only inflates costs, but it also undermines the intended goals of the No Surprises Act: to make care more affordable and accessible for patients.
Role of Private Equity
The growing presence of private equity-backed providers is becoming an all too common influence in the health system—and one of the leading drivers behind egregious surprise medical bills that bankrupt families across the country. Out-of-network providers backed by private equity firms continue to exploit a market loophole that allow them to charge exorbitant rates at patients’ expense. Click Learn More below to view the Coalition’s latest advertising on the harmful tactics from private equity firms and why this practice needs to stop for good.
The Solution
Everyone in America deserves affordable, high-quality health coverage and care. Surprise medical bills undermine that promise, threatening the health and financial stability of millions of patients each year. Together, we must ensure patients are protected from excessive costs and empowered to make informed choices.

News
ICYMI: Private Equity Takes on a New Lobbying Effort
A group of private equity-backed physician staffing companies have created an undercover lobbying group focused on surprise medical billing. According to STAT News, the group “Americans for Fair Healthcare” has formed an “under the radar coalition” that will lobby on...
ICYMI: Private Equity Cashes in on Routine Births
Harmful surprise billing practices exacerbated by private equity involvement in health care were recently highlighted by Fortune and Kaiser Health News. Patient Elizabeth Huffner was expecting and past her due date, so when she went into labor and headed to the...
ICYMI: A Tale of Two States – Surprise Billing Laws in California and New York Led to Dramatically Different Costs for Patients
A recent study published in Health Affairs compared policies in New York, where out-of-network bills have increased by 24% because existing state law allows the arbitration process to rely on billed charges (billing charges increased from assistant surgeons and...
Take Action
Tell Washington it’s time to protect patients from surprise and unfair medical bills.