Friday, March 23, 2018
Company News: Page (1) of 1 - 03/20/17 Email this story to a friend. email article Print this page (Article printing at page facebook
Laws on “Surprise Medical Bills” Could Be Gateway to Single Payer, according to the Journal of American Physicians and Surgeons

(March 20, 2017)

TUCSON, Ariz., March 20, 2017 (GLOBE NEWSWIRE) -- A number of states, including New York, Maryland, Texas, Colorado, New Jersey, Connecticut, and California, have passed laws to address the issue of surprise medical bills, and Congress is considering similar legislation. Purportedly intended to protect patients from excessive out-of-network charges, the main effect is to protect insurers’ efforts to dictate fees of physicians who decline to contract with them, writes New York neurologist Lawrence R. Huntoon, M.D., Ph.D., in the spring issue of the Journal of American Physicians and Surgeons. 

Since many people expect everything to be covered by insurance, virtually any medical bill might be a surprise. Also many patients believe, erroneously, that all physicians working at a hospital are employees of the hospital, and the hospital bills for and controls the fees charged by its physician employees, Dr. Huntoon explains.

Laws that virtually force all physicians to be the equivalent of in-network help hospitals achieve their objective of controlling physicians in the interest of enhancing their own bottom line, writes Dr. Huntoon. With the effectively coerced cooperation of physicians, hospitals will implement strict cost-containment protocols to patients’ detriment.

Surprise billing laws will allow insurers to reduce fees paid to all physicians and achieve windfall profits. The only leverage in-network physicians now have with giant insurers is that if they do not like the terms of the insurance contract or if they believe fees are set too low, they can refuse to sign contracts with the insurer and become an out-of-network physician, Dr. Huntoon explains.

Laws like the one in California allow insurers to dictate physician fees and protect insurers from having to meet their obligation to pay market fees to non-contracted physicians. However, the government is also likely to severely restrict insurance premiums. The result is likely to be like the American single-payer system for the elderly—Medicare—in which insurers just process claims for government, which dictates payment and, increasingly, the care that can be offered.

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

CONTACT: Contact: Lawrence R. Huntoon, M.D., Ph.D., [email protected], or Jane M. Orient, M.D., (520) 323-3110, [email protected]

Page: 1

Related Keywords:
Related Sites: HTN - Health Technology Net
Related Newsletter: Tutorial Finder ,   Review Seeker ,   DMN Newswire Newsletter

  • New Alzheimer's Association Report Reveals Sharp Increases in Alzheimer's Prevalence, Deaths and Cost of Care
  • Global Liquid Biopsy Market 2018-2025 by Circulating Biomarker, Product, Application, End User, Clinical Application, Cancer Types, Sample Type
  • Global Liquid Biopsy Market, Initiatives, Funding and 20 Company Profile Report 2018
  • Prominent Salk Institute Neuroscientist Joins Nemus Bioscience as Scientific Consultant
  • Diagnostic Imaging Market to be Driven by Increasing Incidence of Chronic Diseases, Development of New Healthcare Facilities and Growing Medical Tourism: Radiant Insights, Inc.

  • Lupus Advocacy Requests Granted in 2018 Budget Bill
  • Breakthrough in Photonic Biosensors Could Lead to Fast, Super-Accurate Diagnostics and Detection
  • Endoscopy Equipment Market to Gain from Increasing Consumer Preference Towards Less Intrusive Surgical Procedures: Radiant Insights, Inc.
  • The T.J. Martell Foundation Announces 17th Annual New York Family Day
  • GIMDx, Inc. and IncellDx, Inc. Announce Acceleration of Chinese Commercialization of HPV OncoTect Kit

    Our Privacy Policy --- About The Health Technology - Contact Us - Advertise With Us - Privacy Guidelines