The Real Cost of NSA Arbitration

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

Natiuonal NSA Report Flyer

Ghost Networks, ERISA Fiduciary Duty, and the Future of Provider Directory Litigation

December 18, 2025

Naga Vivekanandan examines the growing scrutiny of “ghost networks” — provider directories that list inaccurate or unavailable providers — and the fiduciary risks they pose for ERISA-governed health plans. She explains how inaccurate network data can expose plan sponsors to compliance challenges, participant complaints, and potential litigation risk, while underscoring the importance of diligent vendor oversight and fiduciary governance.