Discover and read the best of Twitter Threads about #surprisemedicalbilling
Most recents (8)
@HLPI_UHLC 1/ Frankly surprised at this article’s lack of substance beyond the basics—not to mention several of their statements which are either unsupported by data or experience.
1.Authors claim that the NSA will likely have little impact on physicians who do not engage in SMB....
1.Authors claim that the NSA will likely have little impact on physicians who do not engage in SMB....
@HLPI_UHLC 2/ —that’s not what the CBO thinks per their scoring of the E&C bill;
2.Outside of the biased studies out of Georgetown by the policy institute funded by the founder of Wellpoint health plan, there is not objective data that either the NY or NJ SMB models are inflationary.....
2.Outside of the biased studies out of Georgetown by the policy institute funded by the founder of Wellpoint health plan, there is not objective data that either the NY or NJ SMB models are inflationary.....
@HLPI_UHLC 3/ in fact, the NY DFS noted in their report in 2019 that folks there have saved over $400M—how is that inflationary?
3.Authors clearly like the CA model of benchmarking with no reference at all to the surveys done by the CA medical association of its members......
3.Authors clearly like the CA model of benchmarking with no reference at all to the surveys done by the CA medical association of its members......
#SurpriseMedicalBilling #SMB battle not over.
Insurers 👀 out 4 their pockets. 💵
🇺🇸 Medical care in peril
Patients need physician care.
⬆️ Dr-exit means patients lose
#MedTwitter : SMB bill must get implemented FAIRLY
realclearhealth.com/articles/2021/…
Insurers 👀 out 4 their pockets. 💵
🇺🇸 Medical care in peril
Patients need physician care.
⬆️ Dr-exit means patients lose
#MedTwitter : SMB bill must get implemented FAIRLY
realclearhealth.com/articles/2021/…
ER docs esp working like crazy during #Covid
This last 2 weeks 2 US ER docs took their own life.
Tragic
@PamelaWibleMD put out wonderful sobering film
@Dr_RaulRuiz @SenBillCassidy @GOPDoctors, please be aware
We cannot continue having 400 physicians per year kill themselves
This last 2 weeks 2 US ER docs took their own life.
Tragic
@PamelaWibleMD put out wonderful sobering film
@Dr_RaulRuiz @SenBillCassidy @GOPDoctors, please be aware
We cannot continue having 400 physicians per year kill themselves
Author of this piece in @RealClearHealth is 100%!
Plaster on “academic,” “economic expert,” or “think tank” lipstick", you still have....
Plaster on “academic,” “economic expert,” or “think tank” lipstick", you still have....
1/ Check out this detailed summary by AMAzing @AmerMedicalAssn advocacy staff:
•Select provisions of the Consolidated Appropriations Act, a comprehensive omnibus spending package
•AMA table of #Medicare physician impact broken down by specialty
•Select provisions of the Consolidated Appropriations Act, a comprehensive omnibus spending package
•AMA table of #Medicare physician impact broken down by specialty
2/ Dec. 22, 2020, the President signed into law the Consolidated Appropriations Act, 2021 that:
•Funds the federal government through FY 2021,
•Provides a new round of #COVID19 relief and economic stimulus, and
•Imposes new restrictions on #SurpriseMedicalBilling.
•Funds the federal government through FY 2021,
•Provides a new round of #COVID19 relief and economic stimulus, and
•Imposes new restrictions on #SurpriseMedicalBilling.
3/ For an @AmerMedicalAssn summary of select provisions in the Consolidated Appropriations Act, please see here: tinyurl.com/y65utfno
1/ As reported in PoliticoPro –
Trump preparing executive orders on health care this week
By Susannah Luthi, Daniel Lippman, Dan Diamond
09/22/2020 02:51 PM EDT
President Donald Trump is planning to announce a series of executive actions on health care as soon as Thursday...
Trump preparing executive orders on health care this week
By Susannah Luthi, Daniel Lippman, Dan Diamond
09/22/2020 02:51 PM EDT
President Donald Trump is planning to announce a series of executive actions on health care as soon as Thursday...
2/ & one EO is expected to be on #surprisemedicalbilling --been rumored for months & details are not known--last WH idea was outright ban on OON/BB w/ no mechanism for physicians & health plans to resolve $ disputes but Pts would be protected--WH COS Meadows was against ....
3/ benchmarking when he represented Asheville NC in the US House--legal authority of POTUS here very questionable as it relates specifically (but not limited to) to ACA and ERISA plans as those have specific Congressional statutes authorizing same--physicians have been approached
1/ So the #TX health plans--after supporting the solution to #surprisemedicalbilling which passed unanimously--are now pointing fingers--lets consider the facts--1. per the TX Dept. of Insurance (TDI), when clinicians informally settle their dispute before the formal dispute ....
2/ resolution process (IDR), the plans are settling for 4X of the original reimbursement paid; when clinicians go thru the IDR process, the independent dispute adjudicator is awarding >5.3X of the plan's initial reimbursement--based on TDI's report of the 1st 6 months--see charts
3/ So the original plan reimbursements are unreasonably low--one could reasonably conclude--so low that the plans are willing to pay 4X in settlement before IDR--& the Pts are protected & removed from the IDR process--the statutory factors for determining the final $ are strong
Yet another example of perhaps well meaning legislators who do not understand these dynamics rushing to get a really bad bill on #surprisemedicalbilling passed the #MI Senate--HB 4459 is bench-marking in the worst way + no meaningful & accessible dispute resolution; Senate ...
2/ MI Senate consideration in committee is 7/29/20 (last minute move by supporters to push through a bad bill for health plans) so we need groups & docs to do calls to action--physician coalition is multi-specialty & unified in opposition--see below--@MichStateMedSoc @MCEP_NEWS
3/
US Senate has agreed to additional CARES Act funding & is adding an incremental $75B to the original $100B for #hospitals & #physicians —resolving any doubt—“language remains the same as CARES Act”—allocation to rural hospitals & “hot zones” presumably TBD by @HHSGov —vote soon.
2/ SBA’s #PPPloans program slated to receive an additional $250B unrestricted + $60B for smaller banks + $50Bin EIDL loans + $10B in EIDL grants + $2.1B in SBA administrative expenses—really? Who wants to bid w/ me that we can administer this program for a paltry $1.9B? Who....
3/ said famously “a billion here, a billion there, and pretty soon you’re talking real money,”? Senator Everett Dirksen (R-IL) who has a Senate office Bldg. named for him in DC—how in the world do we plan to pay for all of this very necessary spending?
1/ Several features of the not yet passed #COVID19 “3.0” bill (The CARES Act), pluses/ minuses—
+s
1. -2% @CMSGov “Medicare sequester cuts” eliminated for duration of public health emergency (PHE)—ok thanks but could we get a complete elimination?
2. Extended ..
2.
+s
1. -2% @CMSGov “Medicare sequester cuts” eliminated for duration of public health emergency (PHE)—ok thanks but could we get a complete elimination?
2. Extended ..
2.
2/ ACA enrollment for uninsured in the federal exchanges;
3. Extension of 1.0 GPCI floor through 11/30/20— thx but why the cut off?
4. Feds covering Pt cost sharing for MCA, Advantage & MCD testing & treatment;
Negatives:
1. Both a “Sense of Congress” & Senate language....
3. Extension of 1.0 GPCI floor through 11/30/20— thx but why the cut off?
4. Feds covering Pt cost sharing for MCA, Advantage & MCD testing & treatment;
Negatives:
1. Both a “Sense of Congress” & Senate language....
3/ that would address #surprisemedicalbilling — what’s a sense of Congress you ask? No clue. Strength of statue? “Strength” of a UN resolution”? Not good if Congress punts entire issue to @HHSGov
Still reviewing Senate language—but are they frigging kidding us w/ cramming...
Still reviewing Senate language—but are they frigging kidding us w/ cramming...
