4 surprise-billing approaches supported by Blue Cross Blue Shield Association

The Blue Cross Blue Shield Association said it supports various approaches to stop surprise medical bills, including benchmarking.

Here are four, as outlined in the association's comments to lawmakers:

1. The association — which represents 36 U.S. Blue Cross Blue Shield companies — said it supports a ban on balance billing for all emergency services and out-of-network non-emergency services, limiting this responsibility to in-network amounts when patients "have a reasonable expectation that they have done everything to seek care at an in-network facility."

2. The association said it also supports a proposed payment benchmark to guarantee that payments to out-of-network providers align with median payments to in-network providers for the same services.

3. Regarding a payment benchmark, the association wants HHS to establish calculation methodology "for a reasonable payment benchmark" via rulemaking.

4. The association wants to keep patients out of payment disputes between providers and health plans by requiring plans to pay providers directly in surprise-billing scenarios.

Read more about approaches supported by the association here

 

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