MedPage Today August 31, 2020
— We need to understand the problem before we fix it
Recent publications have described the issue of surprise billing and lamented the inability of Congress to pass legislation dealing with this problem. Highly respected physicians have given their support to proposals by the House Energy and Commerce (E&C) and the Senate Health, Education, Labor and Pensions (HELP) committees as balanced efforts and called for physician support. In this article, I review various proposals aimed at addressing the problem and point out potential consequences unrelated to surprise billing.
Briefly, surprise billing occurs when a patient with private health insurance receives unexpected care from a provider that is not in their plan’s network. As a result of the provider being out-of-network...