The Fifteen Dollar Arbitration: How the Final No Surprises Act IDR Operations Rule Cuts Dispute Fees, Rewires Provider & Payer Incentives, and Opens the Door to Arbitration-as-a-Service Business Model

The feds just cut the No Surprises Act arbitration fee from $115 to $15. Most people shrugged. They shouldn’t have. A thread on why this is a bigger deal than it looks.

The fee didn’t fall because the process got leaner. It fell because volume exploded. Agencies projected ~22,000 disputes in year one. They got ~489,000. Over 5.1 million total as of early…