This essentially takes the patient out of the loop if one of the providers is not in-network / being directly reimbursed by insurance. Now the provider and insu

This essentially takes the patient out of the loop if one of the providers is not in-network / being directly reimbursed by insurance. Now the provider and insurance company have to work together to resolve the bill. Most importantly it would be charged against the patient’s in-network deductible. It’s really too bad that this bill was watered down in one particular way. The Senate version of the bill would have set the price as the median in-network price for the procedure/service in that market (which ~5x the price that Medicare would pay). Out of network prices are usually another ~5x higher than in-network prices. House Democrats instead pushed for the rate to be set in arbitration, which is the version that will be enacted. https://www.forbes.com/sites/theapothecary/2020/02/19/house-democrats-capitulation-on-surprise-billing-proves-theyll-never-pass-medicare-for-all/?sh=4e735b9b2538 https://www.forbes.com/sites/theapothecary/2020/02/19/house-...