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Emerging policy solutions to surprise medical bills

A USC-Brookings Schaeffer Initiative for Health Policy Event

Too often, patients are surprised to find a bill from an out-of-network provider involved in their treatment who they had no control in choosing. Studies suggest that roughly 1 in 5 emergency room visits and 1 in 10 elective inpatient procedures result in the potential for a surprise out-of-network bill, most commonly when patient seek care at an in-network hospital but end up treated by certain emergency department or ancillary physicians (such as anesthesiologists, radiologists, pathologists, or assistant surgeons) who are outside their insurer’s provider network, and financial consequences can be devastating.

In recent years, many states have moved to address surprise billing and a few federal proposals are floating around Congress. While there is broad bipartisan agreement that a problem exists, a solution can sometimes prove elusive. On Wednesday, February 20, 2019, the USC-Brookings Schaeffer Initiative for Health Policy will present new analysis detailing policy approaches to eliminate surprise out-of-network billing and bring together policymakers and stakeholders to discuss how to craft a solution.


Welcome and Introduction


Panel Discussion: Policymakers

Lauren Block

Program Director, Health Division - National Governors Association

Mary Moody

Health Policy Advisor - Office of Senator Bill Cassidy

Panel Discussion: Stakeholders

Molly Smith

Vice President, Coverage and State Issues Forum - American Hospital Association

Leanne Gassaway

Senior Vice President, State Affairs and Policy - America's Health Insurance Plans

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