Pathologists
Pathologists

How Pathologists Want to Stop
Surprise Bills

Support legislative efforts to:

  • Create a fair market reimbursement rate using independent databases and a mediation or independent dispute resolution (IDR) process.
  • Hold patients financially harmless when insurers don’t cover care and they are treated by out-of-network physicians at in-network hospitals.
  • Set network adequacy standards to require insurance companies to contract with the requisite number of providers needed for in-network hospitals.
patient

With an IDR law, one state reduced surprise medical bills and saved patients $400 million.

Our patients shouldn’t pay when insurers fail to maintain adequate networks.

Learn More

With an IDR law,
one state reduced
surprise medical bills and saved patients $400 million.

patient

Our patients shouldn’t pay when insurers fail to maintain adequate networks.

Learn More

We Must Protect Patients Against Surprise Bills

Congress must:

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Adopt network adequacy standards to ensure health plans contract with physicians at in-network hospitals

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Create a system for insurers and providers to agree on reimbursement that takes patients out of the middle

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Hold patients harmless; meaning, patients shouldn’t pay more when they can’t get access to in-network physicians

Read Full Position

In the News

Donna Shalala Wants to End Balance Billing, Surprise Medical Bills

Florida Daily
Rep. Shalala is working with both political parties to enact the Protecting People from Surprise Medical Bills Act.

How Can You Stop Surprise Bills? Enforce Network Adequacy Rules

Morning Consult
And, when health insurance plans fail to contract with hospital-based physicians, patients should not be expected to pay more than what they’d normally pay for in-network care.

Surprise Out-of-network Bills are the Fault of Insurance Regulators

STAT
A woman with cancer experiences complications related to her treatment and is hospitalized at a facility that accepts her insurance.

Tell Congress you don’t want patients stuck in the middle.
Contact your senator or representative to support IDR.