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A Targeted Approach to Surprise Medical Billing

February 26, 2020
By Doug Badger, Brian Blase

This report by Doug Badger and Brian Blase of the Galen Institute discusses the problems with arbitration and some rate setting as a solution.

Badger and Blase say a better solution to surprise billing and balance billing is to mandate truth in advertising and good faith estimates. 

Congress should avoid arbitration as a solution, “which has a host of problems, including imposing contractual terms on parties that have not entered into a contract.” 

Rate setting, the authors state, should be reserved for emergency care. “Patients should be protected from balance billing in this situation, and Congress should apply existing federal regulations to determine the rate that insurers compensate providers.”