The Real Cost of NSA Arbitration

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

Natiuonal NSA Report Flyer

IDR’s Tug of War

April 1, 2026

In The Self-Insurer, Bruce Shutan examines how the No Surprises Act’s Independent Dispute Resolution process has created significant administrative and financial strain for self-insured health plans. The article features insight from The Phia Group’s Scott Bennett, who discusses the original intent of IDR, the growing cost burden on plan sponsors, and the need to focus on fair market value as payers and providers continue to dispute out-of-network payments.