PA Coalition for Patient Access Aims to Find Solutions to Out-of-Network Billing Issues
Last Updated: May 3, 2019
Pennsylvania patients shouldn’t suffer because of issues with insurance companies. Simply put, it’s about ensuring access to quality care.
Protecting patients from out-of-network health care billings must start with fixing the root cause of the problem – tiered and narrow health insurance provider networks and a lack of insurance product transparency. The Pennsylvania Medical Society (PAMED) supports solutions that address these issues.
Out-of-Network Billing Advocacy
PAMED believes that:
- Patients should have access to health care choices. PAMED supports patient choice and advocates against anything that may interfere with that.
- Pennsylvania physicians should be reimbursed fairly, regardless of network status.
We participate in meetings and continue to support the PA Coalition for Patient Access – a coalition led by the Pennsylvania College of Emergency Physicians – to advance legislation and strengthen communications between stakeholders.
Next Steps for the PA Coalition for Patient Access
Next steps include:
- The PA Coalition for Patient Access strongly encourages the Pa. House Insurance Committee to hold a future hearing on network adequacy requirements.
- Stakeholders will continue to have discussions in order to reach a consensus on an appropriate reimbursement methodology to address out-of-network bills.
PAMED will share any updates concerning out-of-network billing with our members.
Out-of-network billing – including related issues such as narrow networks – is one of PAMED’s advocacy priorities for 2019. Learn more about our advocacy priorities at www.pamedsoc.org/advocacy.