Surprise medical bills are the target of a new law. Here’s how it works : Shots – Health News : NPR
Shots – Health News : NPR
Patients are months away from not having to worry about most surprise medical bills — those extra costs that can amount to hundreds or thousands of dollars when people are unknowingly treated by an out-of-network doctor or hospital.
The No Surprises Act — which takes effect Jan. 1 — generally forbids insurers from dropping such bills on patients and, instead, requires health care providers and insurers to work out a deal between themselves.
Some observers have speculated that the law will have the unintended consequence of shifting costs and leading to higher insurance premiums.
Many policy experts told KHN that, in fact, the opposite may happen: It may slightly slow premium growth.
The reason, said Katie Keith, a research faculty member at the Center on Health Insurance Reforms at Georgetown University, is that a new rule released Sept. 30 by the Biden administration appears to "put a thumb on the scale" to discourage settlements at amounts higher than most insurers generally pay for in-network care.