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Congressman Brad Wenstrup: Wenstrup, Suozzi Lead 150 Members in Demanding Administration Properly Implement Surprise Billing Legislation

Ohio

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From November 5, 2021 post.

Congressmen Brad Wenstrup (R-Ohio) and Tom Suozzi (D-N.Y.) led 150 Members of Congress in sending a letter to the Secretaries of the Health and Human Services, Treasury, and Labor Departments demanding that the Interim Final Rule for Surprise Billing reflect the landmark No Surprises Act as written:

“The parameters of the IDR process in the IFR released on September 30 do not reflect the way the law was written, do not reflect a policy that could have passed Congress, and do not create a balanced process to settle payment disputes. This approach is contrary to statute and could incentivize insurance companies to set artificially low payment rates, which would narrow provider networks and jeopardize patient access to care – the exact opposite of the goal of the law. We urge you to revise the IFR to align with the law as written by specifying that the certified IDR entity should not default to the median in-network rate and should instead consider all of the factors outlined in the statute without disproportionately weighting one factor,” the Members wrote.

Original source can be found here.

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