Wednesday, March 30, 2011

amednews: Model legislation drafted for out-of-network balance billing :: March 29, 2011 ... American Medical News

A legislative organization calls on hospitals, insurers and physicians to disclose when patients must pay for care.

By Emily Berry, amednews staff. Posted March 29, 2011.

As several states consider whether, or how, to restrict balance billing by out-of-network physicians, the National Conference of Insurance Legislators on March 6 adopted model legislation on the issue.

Rather than explicitly banning or allowing physicians to bill patients when insurance doesn't cover what a physician is owed, the model legislation calls for greater transparency on the part of hospitals, insurers and doctors to alert patients to the possibility that they could end up paying out of pocket for care.

The model bill builds on laws recently adopted in Louisiana and Texas, according to NCOIL's announcement.

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