Pathologists, Radiologists, Labs In Crosshairs As US Senate Panel Clears Lower Health Care Cost Act
The Senate HELP Committee has targeted “ancillary service providers” – radiologists, laboratorians, anesthesiologists and pathologists – who frequently serve health-care facilities on an out-of-network basis by requiring HHS rules to limit their reimbursements to the private payer in-network rate, as part of an effort to end surprise billing.
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A bill meant to stop out-of-network "surprise billing" may have stalled but is likely to make a reappearance when Congress reconvenes next year according to lawmakers and experts. Despite support in key Senate and House committees, the bill hit a wall when lawmakers introduced an alternative version in the House Ways and Means Committee late in the legislative session.
Sen. Johnny Isakson, R-GA, who has sponsored and backed several key pieces of device-industry legislation over the last several years, said on 28 August that he will retire from the US Senate on 31 December 2019, due to health challenges.
A US Senate vote on so-called “surprise” billing and balanced billing legislation will have to wait until after Labor Day in September to allow for consideration of more senators’ input, bill sponsors Lamar Alexander and Patty Murray announced on 24 July.