The Real Cost of NSA Arbitration

An In-Depth Review of More Than 1.25 Million Federal Disputes

Natiuonal NSA Report Flyer

Aggressive Provider Billing Is Inflating Employer Health Costs

March 13, 2026

In this BenefitsPRO article, The Phia Group examines how certain provider billing and arbitration strategies under the No Surprises Act may be increasing costs for employer-sponsored health plans. Drawing from Phia’s National NSA Report on Aggressive Provider Billing, the piece explains how patterns in Independent Dispute Resolution activity can create higher payouts, budget uncertainty, and added pressure for employers, brokers, and advisors