Benchmarking or Rate-Setting Solutions will Decrease Access to Quality Medical Care
We Need A True Market Solution To Fix Surprise Billing in Healthcare
Ike Brannon in Forbes
"In 2016, California mandated out-of-network rates be set at the lesser of the median in-network rate or 125 percent of the already insufficient Medicare rates. While it is too early to do a robust empirical study of the outcome, qualitative evidence shows that the mandated rate is struggling to support physicians in the state. There are reports of insurance companies cancelling contracts and demanding significant cutbacks in physicians’ reimbursements, further driving down the median in-network rate." Read more here.