arbitration process
Coverage of arbitration process in the Nexus archive.
- Fear, Hate and Few Consequences for N.Y. Prison Officers, State’s Review Finds
A state-commissioned review of New York’s prison system found a culture of fear, poor oversight, and outdated training, with correction officers and incarcerated people reporting unsafe conditions. The report highlighted chronic understaffing, weak accountability, and racial bias, including officers using slurs against Black inmates, alongside a significant rise in pepper spray usage and ineffective disciplinary actions against abusive officers.
- STAT+: HaloMD faces lawsuit alleging No Surprises Act middleman used ‘sham letter,’ misleading data
Highmark Health, a Blue Cross Blue Shield licensee, is suing HaloMD and its client Bromedicon for allegedly using the No Surprises Act's arbitration process to submit over 450 ineligible disputes, securing $3.9 million in awards through deceptive practices like a 'sham letter' and misleading data. Highmark seeks to void the awards and reclaim the funds, accusing the defendants of deliberately extracting inflated payments.
- STAT+: No Surprises Act arbitration rule could worsen flood of provider disputes
The Trump administration finalized changes to the No Surprises Act’s arbitration process, aiming to improve insurer-provider communication and increase Medicare visibility in negotiations. While stakeholders praised the updates, concerns remain about unresolved issues like provider gaming and excessive arbitration awards.