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DHA Weighs in on Surprise Medical Billing, Opposes Rate Setting


DHA President and CEO Wayne Smith sent a letter to U.S. Congresswoman Lisa Blunt Rochester (D-DE) on surprise medical billing in advance of a markup in the House Energy and Commerce Committee July 11th. In the letter, DHA states that proposals to artificially set reimbursement rates in out-of-network billing instances will unbalance market negotiations between providers and payers, having negative repercussions on many providers. Instead, Congress should require payers and providers to negotiate out of network billing and reimbursement structures that relieve the patient from getting surprise out of network bills for procedures where time constraints or provider sourcing do not allow for real provider choice by the patient.   

To read the full letter, please click here.