The Senate Health, Education, Labor and Pensions Committee is scheduled next week to mark up a massive legislative package on curbing health costs, but some of the details remain unresolved, including what formula to use to pay doctors and hospitals involved in surprise medical bills.
A new state law says hospitals and insurers will have to work it out among themselves when they can’t agree on a price — instead of sending huge bills to patients. “Bill of the Month” patient Drew Calver galvanized attention on the issue after he told his story to KHN, NPR and “CBS This Morning.”
The median cost of an air ambulance bill is more than $36,000 and seldom covered by insurance, sparking many consumer complaints. Yet none of the proposals introduced or circulating in Congress to fix surprise medical bills address these services.
Lawmakers and patients want to eliminate “surprise” out-of-network medical bills. Hospitals, doctors and insurers say they want to eliminate them, too, but their opposition to one another’s proposals could complicate legislative efforts. Stephanie Armour of The Wall Street Journal, Alice Miranda Ollstein of Politico and Kimberly Leonard of the Washington Examiner join KHN’s Julie Rovner to discuss this, plus the latest in news about reproductive health and health care sharing ministries.
Millions of Californians are vulnerable to hefty surprise medical bills from their trips to the emergency room. Now, state lawmakers are considering a measure to cap how much out-of-network hospitals can charge privately insured patients for emergency care, which could serve as a model for other states.
