Health care system practices have spurred a surprise billing epidemic. Surprise out-of-network billing, or balance billing, often occurs when patients with commercial insurance seek care from an entity covered by their health plan, but are unwittingly treated by an out-of-network provider. Because there is no negotiated rate between the provider and health plan, the patient is directly billed for the costs—which can range from hundreds to thousands of dollars. During this briefing, expert panelists discussed considerations for policy options to protect consumers from surprise medical bills.
Jack Hoadley, Ph.D., M.A.
Research Professor Emeritus, Georgetown University Health Policy Institute
Frederick Isasi, J.D., MPH
Executive Director, Families USA
Al Bingham, FSA, MAAA
Senior Consulting Actuary, Wakley Consulting Group
Investigative Reporter, The New York Times (Moderator)
This briefing was made possible with support from Arnold Ventures.