The Real Cost of NSA Arbitration

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

Natiuonal NSA Report Flyer

From Surprise Bills to Surprise Costs

June 1, 2026

In this Self-Insurer article, The Phia Group’s Scott Bennett and Alex Houle examine how the No Surprises Act has shifted payment disputes away from patients and into the Independent Dispute Resolution process. Drawing from Phia’s National NSA Report on aggressive provider billing, the article explains how concentrated provider behavior, elevated arbitration activity, and high offer patterns may create new cost exposure for employer-sponsored health plans.