The Real Cost of NSA Arbitration

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

Natiuonal NSA Report Flyer

National NSA Report on Aggressive Provider Billing

April 12, 2026

Health IT Answers features The Phia Group’s National NSA Report on Aggressive Provider Billing, highlighting how certain provider billing and arbitration strategies under the No Surprises Act’s Independent Dispute Resolution process may be contributing to higher costs for employer-sponsored health plans. The article explores key findings from Phia’s analysis of more than 1.25 million federal arbitration disputes and data from over 23,000 healthcare providers, including state-level trends and the potential impact on self-insured plan fiduciaries, brokers, and advisors.