A new Health Affairs report offers a preliminary look at No Surprises Act Independent Dispute Resolution activity for 2025.

Among its findings:

• Providers and facilities initiated 99.9 percent of the disagreements submitted to the IDR process.
• Four provider groups or representatives of provider groups initiated more than half of those cases.
• Providers prevailed in 88 percent of the cases.
• Health plans challenged 40 percent of the cases submitted to the IDR process as ineligible for adjudication under that process. The IDRs upheld their challenges only 17 percent of the time.
• Health plans are starting to sue those submitting large numbers of disputes.
• Providers are suing payers for failure to pay adjudicated awards or failure to pay those awards in a timely manner.

Learn more about how the No Surprises Act’s Independent Dispute Resolution addressed fee disagreements between providers and payers in 2025 from the Health Affairs analysis “The No Surprises Act IDR Process: An Early Look At 2025 Data.”