As covered in the article, “Providers notch wins in House surprise billing legislation,” Congress has taken a step in the right direction by accepting an independent dispute resolution amendment, but there is still a long way to go. The overwhelming majority of emergency medicine claims are lower than the $1,250 threshold in the amendment.
This amendment amounts to arbitration in name only. Without a legitimate recourse to arbitration, doctors will be forced to accept insurer-controlled rates and lose their ability to negotiate.
Under this rate-setting mechanism, facilities that serve low-income rural and urban communities will struggle to survive. A comprehensive and independent dispute resolution process is the only way to ensure every American can access life-saving emergency medical services when they need them most.
As a physician-led organization, we remain committed to fighting for patients and working with Congress to improve upon this legislation and pass a solution that protects patients’ access to crucial care.
Dr. Rebecca Parker
Chief medical affairs officer and a practicing emergency physician
Envision Physician Services