Recent Work
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Rep. Ruiz’s Arbitration Proposal For Surprise Billing (H.R. 3502) Would Lead To Much Higher Costs And Deficits
USC-Brookings Schaeffer Initiative researchers review the latest proposed legislation from Representative Ruiz on surprise medical billing.
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Breaking Down The Bipartisan Senate Group’s New Proposal To Address Surprise Billing
Like other recent federal bills (and state laws), the bipartisan Senate legislation protects patients from surprise out-of-network bills through a “billing regulation” approach.
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Analyzing the House E&C Committee’s Bipartisan Surprise Out-Of-Network Billing Proposal
The Energy and Commerce draft would eliminate surprise out-of-network billing for both emergency and non-emergency services (with the notable exception of ambulance services) and across different sites of care (e.g., hospitals, ambulatory surgery centers (ASCs), freestanding emergency departments).
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The Relationship Between Network Adequacy and Surprise Billing
As policymakers look to address surprise out-of-network billing, network adequacy regulation is raised as a potential solution. Researchers from the USC-Brookings Schaeffer Initiative argue the network adequacy framework is poorly suited to solving this problem.
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State Approaches to Mitigating Surprise Out-of-Network Billing
Schaeffer Initiative researchers explore why surprise out-of-network billing occurs and how federal and state governments can respond to eliminate these surprise bills and reduce inflated health care costs.