Discover and read the best of Twitter Threads about #suprisemedicalbilling
Most recents (2)
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.
When #NJ enacted 1 of the worst in the USA #suprisemedicalbilling laws (Aug. '18), #healthplans did the following: 1. @HorizonBCBS said Sept. '18 "reasonable reimbursement" as 110% of CMS as that is what the law required; 2. no meaningful access to #IDR... nj.com/healthfit/2020…
2/ b/c the statute provides no IDR unless the delta between the #physician charges & initial payment is $1K or >; 3. @UHC begins terminating long standing #physician participation Ks to redirect Pts. to clinics owned by their other subsidiary; 4. physician groups are now suing...
@UHC 5/ so 1 could cynically conclude that by benchmarking physician $ to CMS rates, eliminating Ks that are fair coverage & laws w/ no meaningful & accessible dispute resolution results in those very physician groups potentially having to sell out & leading to > vertical integration.
