The Scale of the Problem Demands a Different StrategyWhen Congress designed the No Surprises Act, federal officials projected roughly 17,000 IDR disputes per year. For regional and mid-size health plans, that trajectory is not a background concern. The Outcome Is Not FixedProviders winning 88% of IDR disputes is not an immutable law of the healthcare market. That outcome isn’t reserved for the largest health plans with the most resources. For health plans ready to stop absorbing arbitration losses and start protecting plan dollars at the source, it’s a choice.