Bipartisan Group Of Senators Proposes Using Outside Arbitrator To Settle Disputes Over Surprise Medical Bills
The senators unveiled the legislation among a broader national push to protect patients from sky-high surprise medical bills. Although most agree that the patient shouldn't be stuck with the costs, there is some dispute about how to settle any conflicts between the insurers and the hospitals.
The Hill:
Bipartisan Senators Unveil Measure To End Surprise Medical Bills
A bipartisan group of senators on Thursday introduced legislation to protect patients from massive, unexpected medical bills, as momentum grows around the issue. The legislation, led by Sens. Bill Cassidy (R-La.), Maggie Hassan (D-N.H.) and Michael Bennet (D-Colo.), comes as the House also introduced legislation this week, and President Trump called for action last week. (Sullivan, 5/16)
Modern Healthcare:
Senators Introduce Surprise Medical Bill Ban With Arbitration
The new bill from Sens. Bill Cassidy (R-La.) and Michael Bennet (D-Colo.) has been in the works nearly a year. Under the proposal, a patient's insurer would automatically pay the out-of-network doctor or hospital about the same rate it would pay if the service were in network. But adding arbitration gives industry an appeals process that hospitals and specialty physicians want. (Luthi, 5/16)
CQ:
Bipartisan Senators Offer Another Surprise Medical Bill Plan
The updated version combines two proposals. If the measure is enacted, providers would be prohibited from balance billing patients, or charging them for the remaining cost for treatment that insurance would not cover, and would instead pay the in-network rate and cost-sharing for the treatment, according to a summary. Under the proposal, providers would automatically be paid the difference between the patient’s in-network cost-sharing and the median in-network rate. Providers and insurance companies could then appeal that payment through arbitration, where both sides would propose their best offer and an independent third party would choose one based on commercially reasonable rates in that geographic area. (McIntire, 5/16)
Modern Healthcare:
New Senate Bill Targets Insurers In Transparency Push
Sen. Ron Wyden (D-Ore.) on Wednesday proposed a bill requiring insurers to tell people what they would have to pay out of pocket for any in-network treatment or prescription drug. The bill is part of the broader push in Congress and from the Trump administration to force healthcare prices out in the open. (Luthi, 5/16)
Bloomberg:
Add `Surprise Billing' To U.S. Health Care Worries: QuickTake
A rare point of potential common ground for U.S. President Donald Trump and members of Congress from both parties has emerged on the topic of medical bills. Much of the debate over health care in America -- which unlike most rich nations doesn’t provide treatment for all citizens -- is what to do about the tens of millions of people who lack coverage. The latest issue to flare involves people who do have coverage, yet still can be financially imperiled by sky-high "surprise billing." (Ruoff and Parnass, 5/17)
