February 22, 2019
As Congress works on bipartisan legislation to address surprise medical bills, HR Policy and the National Coalition on Benefits have laid out a set of principles for Congress to follow.
How surprise billing is caused: When facility-based physicians decline to participate in networks, the amount they can bill for services is unlimited.
The letter calls for Congress to:
Medical groups and hospital associations have also sent letters to Congress with their own sets of principles, some of which could increase employer costs.
Outlook: With mounting public pressure to do something on surprise medical bills and President Trump supporting some action, the potential for Congress to pass legislation is fairly high. But it is unclear how Congress will address the competing interests of payors and out-of-network providers.