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Sept. 28 Virtual Briefing – Lessons Learned from the States: Surprise Billing Reforms & The Impact on Consumers’ Costs
For Evidence On How Arbitration Harms Patients, Just Look to the States
The Biden Administration will soon release new rules around a federal arbitration process, also known as independent dispute resolution (IDR). Several states that have implemented IDR processes have seen how frequently they can be abused and misused by out-of-network...
Everything is Bigger in Texas – Including the Cost of Arbitration
Two years after Texas implemented a new arbitration process for resolving surprise medical bills, the number of arbitration requests have skyrocketed to more than 50,000 requests from January to June 2021, suggesting a costly trend that will leave consumers and...
Protecting Patients From Surprise Billing Costs Requires Limits on IDR
Starting Jan. 1, 2022, millions of Americans will be safeguarded from surprise medical bills as part of the No Surprises Act. It’s a historic milestone, and at the same time, members of the Coalition Against Surprise Medical Billing have consistently urged the Biden...
The Most Important Policy in the No Surprises Act is a Three Letter Acronym
In December 2020, Congress passed the No Surprises Act with the intent of protecting patients from surprise medical bills and lowering health care costs. Delivering on the law’s cost-savings goal centers on a wonky, but critically important, payment methodology known...
The Direct Link Between Hospital Consolidation and Surprise Medical Bills
The Biden Administration’s recent executive order hit a bullseye on one of the leading market failures behind surprise bills: anticompetitive hospital consolidation. It’s no surprise that “thanks to unchecked mergers, the ten largest healthcare systems now control a...
Coalition Statement on Surprise Medical Billing Interim Final Rule
Following the release of the Biden Administration's interim final rule to protect patients from surprise medical bills, the Coalition Against Surprise Medical Billing issued the following statement: “While we are still reviewing the details on the new regulations, we...
KFF: More Than 1 Million Patients Still At Risk Of A Surprise Bill From Ground Ambulances
As many as 1.5 million privately insured patients who are brought to an emergency room by an ambulance may be at risk of getting a surprise medical bill each year, according to new research published by the Kaiser Family Foundation. The research highlights the acute...
Top Priority for Surprise Billing Implementation: Protecting Patients from Higher Health Care Costs
In a new letter to the Biden Administration, members of the Coalition Against Surprise Medical Billing made it clear that achieving the intended goals of the No Surprises Act would require a firm commitment to “decrease health care costs, including premiums and...
Axios: America’s Biggest Hospitals v. Their Patients
By Tina Reed Some of the hospitals with the highest revenue in the country also have some of the highest prices. Why it matters: Hospitals each determine their own charges, or list prices. While few patients ever pay those prices due to negotiated insurance rates,...