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Business, health groups press Congress to include surprise billing in next COVID-19 package

July 2, 2020 / by Robert King

Even though the COVID-19 pandemic has taken center stage in Congress, a collection of business and health groups are imploring lawmakers to not forget about another priority: surprise medical bills.

Before the pandemic, the fight over surprise billing was the biggest healthcare issue before Congress. Progress has stalled amid an intense lobbying war between providers and payers over how to pay providers for out-of-network charges.

Now, a collection of unions, business groups and policy institutes wrote to congressional leaders Wednesday asking for a provision on surprise medical bills to be included in the next coronavirus stimulus package.

“We urge you to end surprise medical billing for all patients through the implementation of fair, market-based payments for out-of-network charges,” the letter said.

The American Benefits Council, the AFL-CIO, the Business Group on Health and the American Health Policy Institute were among the groups that signed on to the letter. But the letter’s idea to handle out-of-network charges is sure to renew disputes among providers and payers.

The letter calls for Congress to align out-of-network charges to “local, privately negotiated amounts.”

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Mike Adams

Mike Adams is a medical device sales leader with extensive clinical experience in spine and biologics and a nationwide distribution network built over the last 10+ years in the industry. He has held various leadership positions in healthcare and device including Distributor Partner, Hospital COO and Spine VP of Sales. He currently leads the commercialization strategy for OrthoSpine Partners and is a Distributor Principal at Novel Medical. Because of his unique career path, Mike has the ability to see the healthcare business from multiple perspectives making him passionate about building strategic partnerships that help reduce overall costs, drive innovation, and cultivate growth for new markets.

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