"The NSA's arbitration system has generated $5 billion in total costs since 2022, including $2.24 billion in direct provider payments and $1.9 billion in internal costs. A flood of disputes has overwhelmed the system, creating a backlog of nearly 500,000 cases and pushing the median time for a decision to 81 days. Providers won 85% of disputes in 2024, but the benefits are highly concentrated, with just five organizations responsible for 59% of all claims."  MORE >>