HealthPolitics

STAT+: How the No Surprises Act’s nonprofit arbitrators are operating like ‘mini gods’ and getting rich doing it

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Based on a feed excerpt; full article content has not been acquired. Source evidence retrieved 20/10/2026, 07:22:24 UTC.

Briefings

A Michigan nonprofit, iMPROve Health, suffered over $2 million in losses in 2022 before securing a lucrative government contract to arbitrate health care payment disputes. This role enabled the company to achieve a 70% profit margin and 13-fold revenue growth, transforming from a struggling entity to a high-performing organization.

Key points

• iMPROve Health lost over $2 million in 2022, representing more than one-third of its revenue, before winning a government contract to arbitrate high-stakes payment disputes between health care providers and insurers.
• The company's turnaround resulted in a 70% profit margin, nearly matching Nvidia's, and a 13-fold increase in revenue, attributed to the new arbitration role.

Context

iMPROve Health, a Michigan-based nonprofit, faced severe financial instability including budget cuts, office closures, and discussions about selling the company. Its survival and subsequent success are directly linked to the government contract it secured to resolve complex payment disputes in the health care sector.

Limitations

Evidence covers only the period from 2022 to present, with no data on pre-2022 performance or future outcomes. The specific number of arbitration cases resolved and the total dollar value of contracts awarded are not provided.

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