Hospital-based physicians and pathologist groups in Illinois have filed a lawsuit seeking the invalidation of Illinois legislation designed to shift the burden of patient-related costs from insurers to practitioners of certain medical specialties, according to a news release from law firm McDonald Hopkins.
The suit was filed on June 24, seeking to invalidate the statute on constitutional grounds. The statute prohibits “an inexplicably singled-out group of out-of-network physician-providers” from billing insured patients for anything other than the applicable deductible/co-pay that would apply if the provider were an in-network provider for that patient, according to the release.
The provider must seek any remaining amount from the patient’s insurer. The statute applies to only those physicians or other providers who provide radiology, anesthesiology, pathology, neonatology or emergency department services to insurers, beneficiaries or enrollees in a participating facility or participating ambulatory surgical treatment center.
Plaintiffs challenge the statute as arbitrarily, unfairly and irrationally depriving their practice groups and physicians, as well as thousands of physicians like them across Illinois and elsewhere, of their rights to carry on their profession.
Read the news release on Illinois physicians’ lawsuit to invalidate the statute regarding payments.
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