Discover and read the best of Twitter Threads about #SurpriseMedicalBills

Most recents (9)

⚖️ LEGAL LOOKOUT 1: We’ve read with interest the amicus brief below filed by 24 health policy experts in the @texmed v. @HHSGov lawsuit, as we filed one, too.

Without any further digging, though, we can see off the bat that a majority of the so-called experts who signed

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onto this brief are funded by the #insurance industry.

We respect and cherish the fact that everyone party to a significant #policy debate like this one over #regulatory implementation of the #NoSurprisesAct has a voice.

But, a question to @RonaldKlain, @SecBecerra, and

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@BrooksLaSureCMS: How can you reconcile the fact that the administration’s #regulations rely on these bankrolled academics and experts while also claiming that these regulations help #patients and our #healthcare system? This is an alternative reality.

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Read 19 tweets
MUST READ: *Terrific* letter to @SecBecerra, @SecYellen, and @SecMartyWalsh signed by 97 Members of Congress and spearheaded by @RepTomSuozzi and @RepBradWenstrup.

They urge @HHSGov, @USTreasury, and @USDOL to not only reflect congressional...

➡️ hanys.org/communications…
...intent in their rulemaking by ensuring a balanced process to settle payment disputes between #health plans and providers, but also ensure an #IDR process that captures the unique circumstances of each billing dispute and does not cause any single piece of information to be...
Read 11 tweets
The only way to solve #surprisemedicalbills is with a #fairIDR. But we need to get to the crux of this #SMB issue.

☑️ Everyone agrees to take #patients out of the dispute b/w #insurer & #doctor.
☑️ Everyone agrees to let the 2 parties negotiate the bills if the initial...

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payment is deemed to be unacceptable.
☑️ Everyone agrees that there must be a fall back to a neutral third party (i.e., an #IDR entity).

⭐️BUT, what is disputed is whether this IDR will be a fair process where both sides can equally make their case for what is the most...

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appropriate amount for that non-contracted service OR whether the IDR will be rigged and so unfair that the insurer will always win the dispute.

Many IDR proposals, sadly, are unfair, pointing the IDR to primarily consider the contracted rates #health insurers make up...

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Read 12 tweets
#? Thinking about #surpriseMedicalBills ...
- Does any U.S. agency have authority over this?
- How/why is this business practice different in medicine than other industries?
- Is there a national registry of hospitals who do and don't do it?

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One thing's certain: EVERYONE talking about importance of #patientExperience damn well better have an ironclad policy against #surpriseMedicalBills and against suing patients.

Patient experience doesn't end at discharge. /end
Read 5 tweets
1. Nation's four largest medical societies come out strongly against so-called federal compromise legislation on #surprisemedicalbills. It's the wrong solution to a serious problem. Favors Big Insurance over patients and their doctors.
2. Texas - @texmed "Stands Firmly Against Surprise Medical Billing 'Compromise' says @TMA_Pres texmed.org/TexasMedicineD…
3. New York - @mssnytweet tells Congress to "Go Back to the Drawing Board" on surprise billing legislation mssnyenews.org/press-releases…
Read 5 tweets
THREAD/

1/ I have long said that in health care "the status quo is making far too many people far too much money to want to change the status quo."

No more is this more evident than in the debate over #SurpriseMedicalBills
2/ In Colorado, acting in part on the results of this investigation by @9wantstoknow, legislators finally passed a substantive bill to prevent out-of-network providers from sending surprise bills to patients who visit otherwise in-network facilities.

9news.com/article/news/i…
@9WantsToKnow 3/ Patients have had, for a long time, a legitimate gripe of doing what their insurance wants them to do only to find themselves hit with a bill from a doctor or other provider who they never met, never chose.

Basically, patients want this protection.
Read 11 tweets
Why Health Insurances can’t be trusted for Benchmarking—a thread #SurpriseBilling #surprisemedicalbills
1) Senate version of Balance Billing ban plans to use Benchmarking OON rates to 125% of median In-Network rates. khn.org/morning-breako…
2) plenty people have said why this is a bad idea, first & foremost it involves govt price controls & fee schedule (as opposed to IDP-type version seen in NY, TX BB laws) @SenateHELP @SenateGOP @marcorubio @ScottforFlorida @Forbes google.com/amp/s/www.forb…
Read 25 tweets
Here we go again. Senate gets its first crack at bill to eliminate #surprisemedicalbills in Colorado. Lots of docs here again.

This is the same bill that sailed through House. HB1174.

#9news
More amendments for this one. (Lots of special interests getting their opinions heard on this one)

(Would have to go back to House if amendments approved)
@COHealthAccess heavily involved in pushing this forward.

Bottom line. Whatever happens to language of bill, patients would not receive these surprise bills from out of network providers they never chose.

“It’s time to stop sending these patients to collections” says CCHI
Read 24 tweets

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