Med-arb and arb-med are alternative dispute resolution processes that combine mediation and arbitration. In med-arb, the parties first go through mediation and any unresolved issues then proceed to binding arbitration. Arb-med begins with a non-binding arbitration and ruling, after which the parties attempt to mediate a resolution. Using a single neutral as both mediator and arbitrator provides efficiency and flexibility but also risks such as bias, coercion, and confidentiality breaches. Key safeguards include obtaining proper consent, designing clear processes, and maintaining impartiality.