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

Perspective
Two weeks ago, I wrote about the
Headline
A California law that limits the size of bills from out-of-network physicians for care delivered in hospitals has changed the negotiation dynamics between…
Headline
The AHA yesterday voiced support for the Competitive Health Insurance Reform Act (H.R. 1418/S. 350), legislation that would repeal the antitrust exemption…
Headline
The AHA today voiced support for the Improving Seniors’ Timely Access to Care Act (H.R. 3107), bipartisan legislation that would establish requirements for the…
Headline
The Wyoming Department of Health plans to submit a waiver application that would expand Medicaid coverage to all Wyoming residents for air ambulance…
Headline
Leaders urged Transportation Secretary Elaine Chao to promptly appoint and convene an advisory committee to advise Congress and the departments of HHS and…