Ending Surprise Medical Bills
Millions of Americans have faced the financial burden of surprise medical bills. Thankfully, bipartisan enactment of the No Surprises Act prevented over 9 million surprise bills in the first 9 months of 2022. Despite this success, 16 lawsuits have been filed challenging the law, implementing regulations, and IDR decision process. These lawsuits, often driven by private-equity backed providers, threaten to restrict and even do away with the protections put in place by the No Surprises Act. Recent polling has shown that a bipartisan majority of voters are concerned these lawsuits could delay or overturn the patient protections in the No Surprises Act (73%) and increase health care costs for patients (78%).
The Coalition Against Surprise Medical Billing represents leading employer groups, unions, health insurance providers, and the tens of millions of people they employ and serve each day. Together, we support comprehensive protections for Americans against surprise medical bills, including:
■ Ensuring that as implementation continues, the No Surprises Act regulations remain in place to serve patients and end the practice of out-of-network providers sending surprise medical bills – while also lowering costs.
■ Maintaining fair and market-based payments for out-of-network care.
■ Reducing Americans’ health insurance premiums and taxpayers’ costs by avoiding an arbitration process that adds unnecessary cost, delay, and red tape to the health system.
Surprise medical billing – also known as “balance billing” – made it harder for patients to afford necessary medical care, and even bankrupted families, often when they least expected it.
Role of Private Equity
Everyone in America deserves affordable, high-quality coverage and care, and control over their health care choices. Surprise medical bills undermine these values, putting the health and financial stability of millions of patients at risk every year. As organizations representing America’s employers, unions and health insurance providers, we all have a role to play in ensuring that patients are informed, engaged, and protected from excessive costs.
ICYMI: Bloomberg Highlights Patient Cost of Provider Challenges
Bloomberg recently highlighted how certain providers seek to increase health care costs for patients by challenging current rules regarding the independent dispute resolution (IDR) process. The No Surprises Act created regulations preventing providers from charging...
Is the No Surprises Act Working? 99% of the Time, Yes.
Surprise bills can be expensive, and usually occur when a patient unknowingly receives care from an out-of-network provider, even if they’re at an in-network facility. Thankfully, bipartisan members of Congress passed the No Surprises Act in 2020 to tamp down on this...
CASMB Statement on the TMA II Ruling
Washington, D.C. – The Coalition Against Surprise Medical Billing issued the following statement in response to the decision rendered in the Texas Medical Association v. United States Department of Health and Human Services case challenging provisions of the final...