Yesterday’s reality check from the Congressional Budget Office about the country’s unsustainable debt crisis calls for Congress to take urgent action on health care costs. At a time when out-of-network providers and private equity firms are intentionally exploiting market loopholes to charge higher and higher prices for their care, those costs are hitting the country’s bottom line.
A recent report from Health Affairs found that the four specialties that are often out-of-network – anesthesiologists, pathologists, radiologists and assistant surgeons – are charging rates that far exceed in-network negotiated reimbursement, driving up hospital and provider spending across the board. Check out the breakdown highlighted in Axios below.
Congress can immediately stop the surprise billing crisis facing patients and deliver $25 billion in cost-savings over the next 10 years by implementing fair, market-based benchmark rates. It’s time for policymakers to stand up for American families and vote to stop surprise medical billing.