Surprise Balance Billing
Our work in Surprise Balance Billing
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Provider Charges Relative to Medicare Rates, 2012-2017
Researchers examined data on charges for providers treating Medicare patients and compared them to Medicare’s set payment rate across specialties. They found specialties possessing the ability to surprise bill out-of-network patients higher charges relative to Medicare rates than other specialties.
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Experience with New York’s Arbitration Process for Surprise Out-of-Network Bills
Using data from the New York Department of Financial Services (DFS), USC-Brooking Schaeffer Initiative Associate Director Loren Adler found that the state’s arbitration process is substantially increasing what New Yorkers pay for health care.
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California Saw Reduction in Out-of-Network Care from Affected Specialties after 2017 Surprise Billing Law
This blog presents new evidence on observed changes in provider network breadth after the implementation of California’s 2017 law.
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What is Surprise Billing?
Experts from the USC-Brookings Schaeffer Initiative for Health Policy answer commonly asked questions about surprise medical bills and how to deal with them at a policy level.
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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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Comments on the Lower Health Care Costs Act of 2019
Experts from the USC-Brookings Schaeffer Initiative on Health Policy provide comments on the Senate HELP committee’s latest bipartisan attempt to lower healthcare costs.
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Comments on the No Surprises Act
USC-Brookings Schaeffer Initiative experts provide comments on the House Energy and Commerce Committee’s recently proposed legislation to address surprise medical billing.
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Network Matching: An Attractive Solution to Surprise Billing
Network matching would be an effective solution to the most common instances of surprise billing and compares favorably to many of the most commonly discussed alternative approaches.
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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).