Fierce Health Payers September 28, 2020
Sally C. Pipes

Federal health officials are trying to reignite the debate over surprise medical bills.

In a report issued earlier this summer, the Department of Health and Human Services urged Congress to do something about surprise bills, saying the practice represents a market failure that cannot be corrected on its own. The department declined, however, to define what that “something” could be.

Two competing approaches have been languishing in Congress. One would give insurers a leg up; the other would favor providers.

Congress should instead implement a solution that privileges the interests of patients. Such a fix would give people accurate pricing and coverage information before they receive care—and hold insurers and providers accountable if that information is inaccurate.

Surprise bills...

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Topics: CMS, Congress / White House, Govt Agencies, Healthcare System, HHS, Insurance, Patient / Consumer, Provider, RCM (Revenue Cycle Mgmt), Technology
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