Modern Healthcare June 11, 2019
Susannah Luthi

Debate over Congress’ proposals to ban surprise medical bills has intensified, as physicians, hospitals and insurers war over legislation.

On the surface, the lobbying fight is over which party—hospitals, physicians or insurers—should shoulder more of the out-of-network costs that are currently being offloaded to patients. But House and Senate committees want to go further than that, in order to capture what those costs actually are and curb their inflation.

On Wednesday, the House Energy and Commerce Committee will gather eight witnesses to discuss the panel’s draft proposal to cap out-of-network charges at the regional insurers’ in-network rate. The Senate health committee has proposed a similar limit as one of three options laid out last month in its draft legislation to...

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Topics: Congress / White House, Govt Agencies, Health System / Hospital, Insurance, Payer, Physician, Provider, RCM (Revenue Cycle Mgmt), Regulations
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