Jesse Grady | Posted: Oct 06, 2020 3:19 PM The opinions expressed by columnists are their own and do not necessarily represent the views of Townhall.com.
As the fall
season moves into full swing and temperatures begin to drop, Americans are
growing uneasy about the predicted uptick in COVID-19 cases. Coronavirus is
likely the most substantial phenomenon of the decade, if not this century, and
the impact it has had on America’s health care system will be studied for years
to come. One issue in particular that has been near the top of the discussion
during the pandemic is surprise medical billing, which has consistently been a
sore talking point for many Americans even since long before COVID-19 became a
global crisis.
When the
pandemic initially became widespread, President Trump and Congress worked to
ensure that testing for the virus was made readily available. However,
countless stories quickly surfaced about how patients who sought care or
testing for COVID-19 received an out-of-pocket medical bill. Reading these
headlines was the first time that many Americans had heard of
surprise medical billing, though for patients who have found an unexpected bill
in the mail, it is an unfortunate situation that they are all too familiar
with.
Surprise
medical billing is a longstanding problem that has been occurring for far too
long. Before COVID-19, patients would frequently receive a surprise medical
bill following an unfortunate accident where they were rushed to the nearest
hospital by an ambulance. In many cases, particularly in rural areas, the
hospital that treated the patient was out of their insurance provider’s
network, resulting in an astronomical out-of-pocket expense.
Amanda
Bowes, a health policy analyst in Maryland, was among the most recent surprise
medical billing victims to make national headlines after she received a COVID-19
test at an urgent care facility. Fortunately for her, after protesting with her
insurer, the charge was reversed. But Ms. Bower’s experience seems to be an
anomaly. Sadly, far too many Americans continue to receive surprise medical
bills every day, and many end up paying for them outright.
After
witnessing stories like Ms. Bower’s, President Trump recently signed an
executive order directing Health and Human Services Secretary Alex Azar to work
with Congress and find a permanent solution for surprise medical bills.
Fortunately for Secretary Azar, and for all Americans, Senator Bill Cassidy has
already introduced legislation which does just that.
Senator
Cassidy’s legislation, called the STOP Surprise Medical Bills Act, uses an
arbitration method that is similar to the successful systems used in New York
and Florida. Under the proposed bill, patients automatically pay their normal
in-network cost-sharing amount should they accidentally receive medical care
from an out-of-network provider. The highlight of the
bill is that it not only offers patients protection from surprise medical
bills, but it also allows for them to be completely removed from any dispute
between the hospital and insurance provider. I am confident that congressional
leaders such as Senate Majority Leader Mitch McConnell, who has stood alongside
Americans when they are most vulnerable, will support the STOP Surprise Medical
Bills Act so that patients can be afforded the key safeguards they need.
Unfortunately,
some members of Congress have offered up a worse alternative, called
rate-setting, which is a method that voters in key Senate battleground states
overwhelmingly oppose according to a new Taxpayers Protection Alliance poll. Of the active
voters that participated in the poll, 74 percent agreed that they would rather
have an independent third party resolve any payment dispute, much like the
system used under the STOP Surprise Medical Bills Act, instead of the federal
government becoming involved.
Coronavirus,
for now, is here to stay. But surprise medical bills may be on their way out
thanks to President Donald Trump and Senator Bill Cassidy. New York and Florida
have proven that an arbitration method is a practical and effective solution
that protects patients. By passing the STOP Surprise Medical Bills Act,
Congress can end surprise medical bills and allow Americans to receive a
coronavirus test without having to fear an out-of-pocket charge.
Jesse Grady
attends Maryland Law, is a former Regional Field Director for the Texas GOP,
and aformer staff member of President Donald J. Trump’s 2016 campaign
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