Congress is making progress on surprise medical bills in the emergency room, a problem that is affecting a growing number of patients. But health care lobbyists in Washington have been working overtime to undermine these reforms, by demanding the use of arbitration to increase patient costs.
passed out of the Senate’s Health, Education, Labor, and Pensions Committee that would effectively end patients’ exposure to surprise medical bills for emergency care.
The increasingly lucrative nature of out-of-network emergency care has attracted the attention of private equity firms, who have been as the benchmark for their decision. These hospital list prices are a lot like paying full fare for an airline ticket; they often come out towhat Medicare pays emergency rooms for the same services. By benchmarking out-of-network prices at such a high rate, the New York law incentivizes ER doctors to raise their prices even higher, knowing that by doing so, the benchmark for arbitration will also go up.
The California bill worked because it eliminated the incentive for these medical specialists to stay out-of-network and issue surprise bills, because the prices they could charge were similar to local in-network market rates.Some members of Congress have given into the private equity-backed ad campaign. The bill that passed out of the House Energy & Commerce Committee uses a median in-network rate benchmark, similar to the Senate HELP bill. But Reps.
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