Health Affairs November 19, 2019
This summer, Americans were subjected to a barrage of ads from Doctor Patient Unity claiming that a payment benchmark fix for surprise billing—the cornerstone of the Senate Health, Education, Labor, and Pensions (HELP) Committee’s Lower Health Care Costs Act—would destroy insurance networks. These benchmark opponents say they represent everyday provider interests but are backed by private equity companies that game the system to garner the highest price from patients and plans as possible.
As we discussed in our August post, private equity has made a business model out of billing patients out of network. We suspect these claims are really driven by concerns about losing profits derived from exorbitant out-of-network bills, not the strength of networks. Here’s why we...
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