Surprise Billing Legislation Still Harms the Consumer

Two major pieces of surprise-billing legislation were marked up in their respective House committees : HR 5826 (Consumer Protections Against Surprise Medical Bills Act) and HR 5800 (Ban Surprise Billing Act). Both of which utilize arbitration. There is no reason for this surprise billing legislation!  It's quite simple: hospitals have outsourced their emergency departments (ED)... Read More

Senators say they’re serious about tackling surprise medical bills

If you have an emergency, you often don’t have a choice about which provider treats you.  HMOs offer in-network coverage only.  High deductible health plans (HDHPs) may or may not have out-of-network options. Hospitals need to set the tone.  When an emergency department hires non-contracted providers, they must accept the insurance carriers with which the hospital is contracted.  If the... Read More

Urgent Care Center Impact on Emergency Department Use

In a working paper issued in January 2019 by the National Bureau of Economic Research (NBER), researchers examined how urgent care centers (UCCs) impact emergency department (ED) demand.  After urgent care centers closed for the day, ED visits for minor illnesses by privately insured patients in locations with multiple UCCs increased by 1.4% (2.4 million ED visits) because UCCs are... Read More