Below is an excerpt from STAT.
We need benchmarking, not arbitration, to quell surprise medical billing
By James Rickert, October 7, 2019
By ending the financial distress and anger that patients can experience when hit with surprise medical bills, and by guaranteeing insurance payments far above in-network rates, arbitration will prompt many doctors to leave insurance networks as soon as they can. It would, in fact, be folly to remain as an in-network physician in most instances.
That’s bad for consumers. Insurance networks build value and reduce costs by negotiating lower rates for patients covered by insurance while...
In a speech from the Senate floor last week, Sen. Jeanne Shaheen (D-NH) describes how private equity firms abuse the health care system to profit off of patients. Read excerpts from Senator Shaheen's floor speech below.
- "The voices of Granite Staters who are struggling to pay surprise medical bills are being drowned out -- in this case -- by private equity firms on Wall Street who are making billions off of the status quo.”
Bloomberg's editorial board weighs in on value of a local, market-based benchmark to end surprise medical billing for good.
Congress Can Act Now to Stop Surprise Medical Bills
Many health-care questions are difficult and divisive. This one shouldn’t be.
By The Editorial Board, Bloomberg
October 1, 2019
While most of Washington was on vacation in August, lobbyists for doctors were busy placing ads attacking the recent effort in Congress to end “surprise medical bills” — the practice of slapping unsuspecting patients with huge out-of-pocket charges they couldn’t see coming. The blitz...
Patients Protected, Providers Paid: Data From Three Years of California’s Compromise to Stop Surprise Medical Bills
Below in an excerpt from Health Access. Read the full report here.
AB 72 took effect on July 1, 2017, and now, over two years later, the data is clear: The law is working as intended by consumer advocates, protecting patients from physician balance billing, while ensuring a fair payment to providers (key focus of negotiations) where the compromise benchmark payment is based on the average contracted rate. California’s health system protects patients while continuing to provide access to care to needed care without any empirical evidence of negative impacts from AB 72.
Highlighting the most recent data from state...
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...