Rep. Frank Pallone Investigates No Surprises Act Arbiters Amid Rising Healthcare Spending Concerns
Rep. Frank Pallone, D-N.J., the ranking member of the Energy and Commerce Committee, has launched an investigation into six arbiters responsible for determining reimbursement amounts for out-of-network medical bills under the No Surprises Act (NSA). Pallone sent letters to C2C Innovative Solutions, Commence, Dane Street, EdiPhy Advisors, National Medical Reviews, and ProPeer Resources, requesting documents and information on their decision-making processes. The inquiry focuses on how these arbiters decide claims, including the frequency of ruling in favor of providers, the factors considered in selecting winning offers, and how personnel involved in decisions are compensated. This investigation comes amidst growing evidence that the independent dispute resolution (IDR) process, established by the NSA, is leading to significantly higher healthcare spending than initially anticipated. Regulators had projected around 17,000 cases annually, but 2.5 million disputes were filed in 2025, and 1.4 million in the fi...
