1/ Ranking Minority Brady is supposedly meeting w/ W&M chair Neal in the am as a "Grand Bargain" is perhaps coming together after pressure from @SpeakerPelosi on #SMB--w/ no legislative language socialized 2 anyone in the doc community--2 of 4 corners in Senate remain opposed.
2/ Let's bolster the oppo w/ the simple message that we don't sign off on deals where there's no language + how about the bills that physicians passed in #NY #TX & #GA tens of millions of Pts are out of the middle due to physician lead bills--don't suggest "we're the party of no"
3/ @ercoderguy @amychomd @Reese_Tassey @mass_marion @MarilynHeineMD @fuzzymittens @sonodoc99 @Valleus556 @813JAFERD @drdanchoi @AmerMedicalAssn @ACEPNow @RadiologyACR @ASALifeline @ahahospitals @EDPMA @RBMAConnect @RichDuszak @reh3md @RepRichardNeal @senatemajldr @chuckschumer
4/ The "Grand Bargain" on #SMB has apparently been reached w/ Chm. Neal & Ranking Minority Brady & will be announced this morning 12/11/20--details are not known at present but hopefully we will actually see the legislative language today or soon. #suprisemedicalbilling
5/ outline of details only so far--SMB Grand Bargain details outline:
1.Interim reimbursement but no set standard (health plans determine);
2.Batching of claims
3.Single list of IDR criteria=median in network, prior K history, case complexity, quality, plan + .....
1.Interim reimbursement but no set standard (health plans determine);
2.Batching of claims
3.Single list of IDR criteria=median in network, prior K history, case complexity, quality, plan + .....
6/ physician market share (latter is completely new and off the wall);
4.Adjudicator may ask for additional info outside of criteria
5.Either side can argue for inclusion of other criteria.
4.Adjudicator may ask for additional info outside of criteria
5.Either side can argue for inclusion of other criteria.
7/ From reliable sources--still would couch as a rumor--"The rumor now is a deal has been struck and language may be released at 4:30PM ET."
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