On April 2, 2019, ACEP submitted a statement for the record to the House Committee on Education and Labor’s Subcommittee on Health, Employment, Labor, and Pensions that urged legislators to take into account the unique nature of emergency medicine, while examining the surprise billing issue. The letter explains how EMTALA has disincentivized health plans from entering into fair and reasonable contracts to provide services at appropriate in-network rates.
Explore This IssueACEP Now: Vol 38 – No 05 – May 2019
This letter also explains ACEP’s stance on recent proposals related to bundled payments being discussed as part of negotiations to develop federal balance billing legislation: “We also note our strong concerns with proposals that would either provide a single bundled payment from a hospital for emergency services or would set a benchmark payment at a certain level of Medicare rates. A bundled payment would not actually address the underlying cost issues, but instead merely shift the venue for negotiation under the assumption that hospitals would somehow be able to better negotiate with physicians than insurers.”