November 17, 2020

Arbitration, Not Rate-Setting, Is The Answer To Surprise Billing

At a time when medical professionals are under unprecedented stress dealing with the impact of the Covid-19 pandemic, it would seem that members of Congress would be loath to support a legislative proposal that would benefit insurers at the expense of providers. But that’s what one lawmaker is apparently trying to do by inserting language into a COVID-19 relief package that could lower physician reimbursement rates by as much as twenty percent over the next decade.

The effort is being cast as a fix to the so-called surprise billing issue, which everyone agrees must be addressed, but it’s the wrong approach.  

It’s worth pointing out that there is a lot right with the U.S. healthcare industry at present, which should serve as a reminder that the system can produce great outcomes at its best. Read more