Healthcare DIVE May 30, 2019
Dive Brief
- A coalition of hospital groups sent a joint letter to the House Energy and Commerce committee Tuesday opposing rate setting in surprise billing draft legislation. Trade associations including the American Hospital Association, America’s Essential Hospitals and the Federation of American Hospitals argued in favor of an independent dispute resolution processes such as arbitration or mediation in cases where insurers refuse to pay the full cost of medical bills.
- The bipartisan No Surprises Act released earlier this month proposes establishing a benchmark rate to resolve out-of-network payment disputes between payers and providers: the median in-network rate for whatever medical service is being debated.
- Providers generally don’t like that idea, arguing it could cause insurers to narrow their networks....
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