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Regulatory Attempts to Control 'Surprise' Medical Bills
JAMA Forum Link to more items from this source
Feb. 4, 2016

"New York's surprise medical bill law is ground-breaking, as much for its approach to resolving payment disputes between insurers and physicians as for its protection of patients. Pennsylvania's insurance commissioner recently proposed a similar approach. A proposed federal regulation would ... [protect] patients in plans offered in the ACA's marketplaces from higher out-of-network cost sharing, but not from balance billing. By excluding protection from balance billing, the federal proposal avoids having to enter the thicket of setting standards for how much out-of-network physicians should be paid."

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