Below is an excerpt from The Hill.
A Congressional Budget Office (CBO) analysis finds that a rival approach backed by doctors groups for protecting patients from getting massive “surprise” medical bills would increase the deficit by “double digit billions” of dollars.
The email from the nonpartisan CBO to a congressional office, obtained by The Hill, comes amid a raging debate over legislation to stop surprise medical bills, which is seen as a rare area of possible bipartisan accomplishment this year.
Powerful doctor and hospital groups are lobbying hard against the leading legislation, warning it would lead to damaging cuts to their...
How Arbitration For Surprise Medical Bills Leads To Runaway Costs & Higher Premiums
By: Avik Roy
Read the full story at Forbes.
Congress is making progress on surprise medical bills in the emergency room, a problem that is affecting a growing number of patients. But health care lobbyists in Washington have been working overtime to undermine these reforms, by demanding the use of arbitration to increase patient costs.
A good bill in the Senate
First, the good news. Last July, a bipartisan bill passed out of the Senate’s Health, Education, Labor, and Pensions Committee (HELP) that would effectively end patients’ exposure...
There’s no way around it: if Congress gives up on ending surprise medical billing, they’re choosing private equity firms over patients. For private equity-backed physician staffing firms, surprise medical bills aren’t an accident—they’re a key element of the business model. Wall Street powerhouses like KKR and Blackstone see surprise billing as a lucrative opportunity to turbocharge their bottom line—all at the expense of patients and their families.
That’s why there’s consensus across the country that Congress needs to step up and pass a bipartisan solution to ending surprise medical billing for good....
September 19 (WASHINGTON, D.C.) – Following the release of the Congressional Budget Office’s latest estimates on the cost associated with an arbitration proposal included in H.R. 2328 – Reauthorizing and Extending America’s Community Health Act, the Coalition Against Surprise Medical Billing urged Congressional leaders to prioritize reforms that would safeguard patients from exorbitant out-of-network charges and lower costs for families, employers and taxpayers.
“Each day that Congress fails to act, thousands of Americans will receive bankrupting surprise medical bills. These exorbitant and unfair charges are coming from out-of-network providers and private equity firms that have established a successful...
Below is an excerpt from Axios
Driving the news: 2 new government reports show how arbitration, one of the solutions being considered by Congress, works in theory and in the real world.
- New York created an arbitration process a few years ago, and doctors on average have been paid well above 80% of their billed charges in emergencies, according to an analysis of the state's report by Loren Adler of the Brookings Institution and the USC-Brookings Schaeffer Initiative. Charges are made-up figures with no relation to costs or quality.
- Separately, creating a federal arbitration process "would be likely...
Below is an excerpt from Politico Pulse
AND THE PRICEY ‘SURPRISE BILL’ AD BUYS CONTINUE — A coalition of mainly insurer and employer groups is launching today a multi-million ad buy attacking private equity groups for trying to sink “surprise” bill legislation. “Private equity firms buy doctor groups, and take them out of network to overcharge patients,” a narrator says in one ad.
It’s the second multi-million advertising campaign from the Coalition Against Surprise Medical Billing, which is advocating for a federal benchmark rate and against an arbitration approach to settling payment disputes between providers and plans. Television and digital ads will...