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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.
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).
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.
California Can’t Wait for Washington’s Approval to Control Healthcare Spending
Schaeffer researcher Glenn Melnick writes that we need legislation that reduces hospitals’ emergency room leverage by capping out-of-network emergency room charges and to rein in the growing economic power of large healthcare enterprises in California.
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Healthcare reform should hinge on improving value, reducing waste, and bettering the health outcomes of patients. The Schaeffer Center is a pioneer in posing solutions to enhance the value of healthcare services and expand their reach.