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

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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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