Lawmakers push to change billing dispute resolution rule

2021-10-25

Reps. Brad Wenstrup, R-Ohio, and Tom Suozzi, D-N.Y., say an interim final rule of the No Surprises Act "is contrary to statute and could incentivize insurance companies to set artificially low payment rates, which would narrow provider networks and jeopardize patient access to care." The lawmakers say patient outcomes, market share, complexity of care, case mix and contract history should be considered in resolving billing disputes, and they are circulating a letter among their colleagues asking the departments of HHS, Labor and Treasury to revisit the rule.

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