Massachusetts lawmakers consider balance billing legislation: 4 things to know

The Massachusetts Senate adopted preliminary legislation that targets balance billing, according to a WWLP report.

Advertisement

Here are four things to know.

1. The legislation would cap the amount healthcare providers can bill patients for out-of-network care. The report did not specify how that cap would be determined.

2. Massachusetts Sen. James Welch, D-Hampden, said the legislation ultimately aims to protect patients from surprise out-of-network bills and will hopefully create greater price transparency, according to the report.

“The unknown of a month after your procedure getting a bill in the mail and all of a sudden you owe $500, $1,000, multiple-thousands of dollars,” he said. “Well, part of the procedure was out of network.”

3. But physicians and healthcare providers have expressed concerns about the legislation’s potential affect on emergency rooms, the report notes.

4. The legislation still has some hurdles to cross. It is not part of the House budget and still must make it onto the final state budget for next year, reports WWLP.

 

More articles on healthcare finance:
Texas Children’s records $36.2M operating loss on insurance arm
5 healthcare CFOs in the headlines
Health system CEO pulls out $6M check to pay debts during budget hearing

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.