Business1 min read

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

By · Via STAT Health · Published by Everything Blog

In short

This financial strain was exacerbated by budget cuts, the closure of the office, and discussions about potentially merging with another organization. However, thanks to its new government-backed role as a nonprofit arbitrator, iMPROve has seen a significant improvement in its financial situation. The turnaround is attributed to the company's involvement in high-stakes payment disputes between health care providers and health insurers.

Key points

  • This financial strain was exacerbated by budget cuts, the closure of the office, and disc…: This financial strain was exacerbated by budget cuts, the closure of the office, and discussions about potentially merging with another organization.
  • However, thanks to its new government-backed role as a nonprofit arbitrator, iMPROve has…: However, thanks to its new government-backed role as a nonprofit arbitrator, iMPROve has seen a significant improvement in its financial situation.
  • The turnaround is attributed to the company's involvement in high-stakes payment disputes…: The turnaround is attributed to the company's involvement in high-stakes payment disputes between health care providers and health insurers.

Sources checked by our analysis pipeline: 1

Before it won a lucrative government contract, iMPROve Health’s very future was in question.

The Michigan-based nonprofit lost over $2 million in 2022 alone — over a third of its revenue — on top of losses in previous years. There were budget cuts; it ditched the office, went remote, and even discussed selling the company.

“We had conversations about, ‘Should we merge and be an organization that someone acquires?’ We had those conversations,” said Richard Murdock, a former iMPROve board member.

Three years later, iMPROve boasts a 70% profit margin, almost as high as that of tech giant Nvidia. Its revenue has grown 13-fold. The turnaround is thanks to the company’s new government-backed role: picking winners in high-stakes payment disputes between health care providers and health insurers.

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Original source: www.statnews.com

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