Surprise medical billing is an insurance network problem not a federal government problem.

Ophthalmologist Jane Hughes, MD of San Antonio writes in:

Let’s all get on the same page about one thing. Surprise medical billing is not a federal government problem.

It is a contractual problem between the insurance company and the insured patient, largely because no one reads the fine print. It is also the direct result of networks.

There are steps that states can take that would largely solve the surprise billing that insurance has perpetrated and one step is mandatory price transparency.

On a federal level issues that are their purview involve Medicare/Medicaid. Mandatory price transparency and a concomitant rule that regardless of who is paying, the charge for the identical service or product at the same facility by or from the identical provider must be the same.

This is not price fixing as each entity decides the fee for product or service rendered. Just like a gallon of milk at a specific grocery store is the same regardless of credit card used, cash, or food stamps.

Gee, what a novel idea…

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