Surprise billing law pleases patients, frustrates doctors\n

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Federal lawmakers are eyeing the California law as a possible model as they debate legislative proposals that would address surprise billing at the national level.

that they would have owed if they had been seen by an in-network doctor.

For example, someone who has knee replacement surgery with an in-network surgeon at an in-network hospital may not realize that the anesthesiologist and assistant surgeon also scrubbing in on the operation are not. ― nearly 90% of the doctors said that the law allowed insurers to shrink physician networks, thus limiting patients’ access to in-network doctors. Physicians blame the new law’s reimbursement rates for surprise out-of-network care. The payment standard made insurers less inclined to negotiate payments and reduced doctors’ bargaining power, the physicians say.

Hernandez Conte also pointed to a study published in August by the research firm Rand Corp. that he said showed theBut that study ― a series of 28 interviews with doctors and others about their experiences in the first year after the law took effect ― wasn’t definitive, said author Erin Duffy, an adjunct policy researcher at Rand and postdoctoral fellow at the Schaeffer Center for Health Policy and Economics at USC.

The opposite appears to be true. USC-Brookings researchers published an analysis in September examining more than 17 million specialty claims by California physicians affected by the law. They found the share of services that specialty physicians delivered out-of-network at hospitals and ambulatory surgical centersWhen the law went into effect, there was a “precipitous” movement by affected physicians into insurance networks, said Adler, a co-author of the study.

 

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Si no tiene que ver con el 'gobernador inepto demócrata', adelante.

Single payer would help here.

Everything about California is wrong freaking Democrats need a kick in the face

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