RIBGH joined 47 national organizations representing employers, unions, patients, and healthcare purchasers in urging federal agencies to investigate potential conflicts of interest within the Independent Dispute Resolution (IDR) process established under the No Surprises Act.

The coalition’s letter raises concerns about the growing volume of arbitration cases, escalating healthcare costs for employers and families, and the role of private equity-backed entities in the arbitration system. The letter calls on federal regulators to strengthen oversight, improve transparency, and ensure the IDR process operates as intended — protecting patients from surprise medical bills while helping control healthcare costs.

Read the full coalition letter here.