A National Coalition
Supporting medical practices for a healthier future.
The Medical Practice Support Alliance unites legal, revenue cycle, and practice-support leaders behind one goal: full and faithful implementation and enforcement of the No Surprises Act (NSA) to protect patients from surprise bills and providers from insurer abuse.
Hold the line on the No Surprises Act (NSA)
Big Insurance is breaking the rules. We hold them to account.
A coalition of law firms, revenue cycle companies, and practice-support experts standing up for fair, transparent, and sustainable reimbursement, so patients keep access to the care they need.
Sources: Americans for Fair Health Care (AFHC) NSA Impact Analysis (2025), p. 2; AFHC "Insurer Myths vs. Documented Facts" (May 2026); Premier and CMS (Centers for Medicare & Medicaid Services) data cited therein.
A United Front
One voice for fair reimbursement.
Law firms, revenue cycle companies, and practice-support entities, coalescing as a unified force to defend the No Surprises Act and the practices it protects.
The urgency
Patients and practices are paying the price for insurer abuse.
The No Surprises Act was meant to take patients out of the middle of billing disputes. Instead, some corporate insurers are undermining its safeguards, cutting payments, missing deadlines, and forcing providers out of network.
Source: Americans for Fair Health Care (AFHC), No Surprises Act Impact Analysis (2025). This includes the “1 in 5” figure shown above.
Who we are
Built to support medical practices, and the patients who depend on them.
The Medical Practice Support Alliance (MPSA) brings together leading providers of revenue cycle, legal, and other vital practice-support services, all working for fair, transparent, and sustainable reimbursement.
Our members put their expertise and resources where it counts most.
What we do
Expertise and resources, focused
on the fight that matters.
Legal initiatives
Amicus briefs, litigation engagement, legal expertise, and financial support to oppose health-plan efforts to undermine the NSA's IDR processes.
See our advocacy →Direct engagement
Engaging state and federal policymakers to preserve a fair regulatory environment and ensure the federal IDR framework serves as a viable backstop to select state-specified plans.
See our advocacy →Strategic communications
Supporting AFHC and industry partners in advocating for health-plan adherence to the letter and spirit of the federal No Surprises Act.
See our advocacy →Stronger together
Committed to community action.
Americans for Fair Health Care (AFHC) is a national coalition of physicians and advanced practice clinicians. They work to protect medical professionals and the patients they serve. MPSA's communications and advocacy reinforce that work, fighting insurer abuse and preserving access to in-network care.
Source: Americans for Fair Health Care, NSA Impact Analysis (2025).
Get involved
Your organization belongs in this fight.
If your firm or company is dedicated to protecting clinicians and medical groups from insurer abuse, join the practices and partners building MPSA. We'll follow up with next steps.