New Legislation Seeks to Take Unwelcome Surprises Out of Patient Billing
Virginia Bell Flynn and Chad Fuller, partners in Troutman Pepper's Consumer Financial Services Practice Group, were quoted in the Healthcare Financial Management Association article, " New Legislation Seeks to Take Unwelcome Surprises Out of Patient Billing."
"This is going to have a tremendous impact on the way that companies see revenue flow and have the ability to collect revenue in connection with services," said Chad Fuller, a partner in the Consumer Financial Services practice of Troutman Pepper.
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The law thus leaves health plans and providers to settle out-of-network payments among themselves. "The patient is out of the mix," Fuller said.
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"Air-ambulance fees are a huge, huge cost driver. They account for some of the biggest emergency bills out there," Fuller said.
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"It really encourages payers and providers to work together to find a solution," said Virginia Bell Flynn, a partner in the Consumer Financial Services practice of Troutman Pepper.
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"I think there were some pieces of it that some payers may not agree with," said Flynn, whose healthcare client base primarily consists of health plans. "And I think there's some pieces that some providers don't agree with, but that might mean it's a decently fair resolution."
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Based on her conversations with health plans, Flynn doesn't expect them to be overly disappointed with the finalized IDR process.
"There's always a hope that there's a clear line on what things cost," she said. "It certainly makes everyone's life easier if someone says, 'Here are the proposed rates.' But I also think payers feel good about [addressing] balance billing. There was a lot of good from their perspective."