Responding today to a House Energy and Commerce Committee request for information on its No Surprises Act draft legislation to protect patients from surprise medical bills, the AHA said it shares the committee’s objective of protecting patients from balance billing in certain circumstances by out-of-network providers and limiting patient cost-sharing to the in-network amount, but expressed concern with the draft legislation’s approach to determining reimbursement for out-of-network providers. “The AHA believes that once the patient is protected from surprise bills, providers and insurers should then be permitted to negotiate payment rates for services provided,” the association wrote. “We strongly oppose approaches that would impose arbitrary rates on providers. It is the insurers’ responsibility to maintain comprehensive provider networks, and a default payment rate would remove incentives for plans to contract with providers.” 
 

Related News Articles

Headline
The Centers for Medicare & Medicaid Services will host a national stakeholders call July 22 at 3:30 p.m. ET on the interim final rule, Surprise Billing…
Headline
The House Energy and Commerce Subcommittee on Health today voted to advance to the full committee a number of AHA-supported bills focused on maternal health…
Headline
The House Appropriations Committee today voted 33-25 to approve legislation that would provide $253.8 billion in funding for the departments of Labor,…
Headline
Congress should not extend Medicare sequestration to help pay for the bipartisan infrastructure framework because health care providers cannot sustain…
Headline
The departments of Health and Human Services, Labor, and Treasury late this afternoon released “Part 1” of regulations implementing the No Surprises Act. The…
Headline
The AHA today released a new episode of PowerPlay, the on-demand video series that connects AHA members to major players in policy, politics and science. The…