Please ensure Javascript is enabled for purposes of website accessibility
Sticker Shock: Trump Takes Aim at 'Surprise Medical Bills'
gvw_ap_news
By Associated Press
Published 5 years ago on
May 9, 2019

Share

WASHINGTON — President Donald Trump will begin a push Thursday to fight health care sticker shock by limiting “surprise medical bills,” the unexpected charges faced by insured patients when a member of a health care team that treated them is not in their insurer’s network.

“Surprise” bills amounting to tens of thousands of dollars can hit patients and their families when they are most vulnerable — after a medical emergency or following a complex surgical procedure.

Senior administration officials told The Associated Press the Republican president will outline principles he can support as part of legislation to limit such billing practices. Republican and Democratic lawmakers have been trying to make progress on the topic for months, and White House support improves chances that something will get done.

Patients being treated for medical emergencies often are in no position to check into whether their insurers have contracted with their surgeons or anesthesiologists to provide medical care. Trump wants to make it clear that patients who receive emergency care should not be hit with charges that exceed the amount paid to in-network providers.

“Surprise” bills amounting to tens of thousands of dollars can hit patients and their families when they are most vulnerable — after a medical emergency or following a complex surgical procedure. Often patients are able to negotiate lower charges by working with their insurers and the medical provider. But the process usually takes months, adding stress and anxiety.

The officials said the legislation also should protect patients seeking elective care by ensuring that they are fully informed before scheduling their care about which providers will be considered out of network and what extra costs that will generate.

Patients Usually Pay a Bigger Share of the Bill

The officials spoke on the condition of anonymity because they were not authorized to speak publicly on the matter before Trump’s announcement. The White House effort is part of a broader push by the Trump administration to increase transparency in the health care system. On Wednesday, the administration finalized regulations requiring drug companies to disclose list prices of medications costing more than $35 for a month’s supply.

The president also will make the case that legislation should not lead to additional costs for taxpayers.

Insurers form networks of doctors and hospitals, in part, to gain some leverage for negotiating reimbursements. Usually patients pay a bigger share of the bill for any care sought outside those networks.

A major hang-up has been agreeing on payment rates for out-of-network services that are mutually acceptable to medical specialists, hospitals and insurers, who have conflicting interests.

But sometimes, patients don’t know they got care outside of their network until they get their bill.

A House panel held a hearing on surprise medical bills last month. Trump also participated in a January meeting with health care advocates and victims of surprise billing. The officials said Trump made clear following the meeting that he wanted his administration to work on finding a fix.

States also have been working to protect consumers from surprise medical bills. A survey of states by Georgetown University found that about half the states have acted to protect consumers, but some, such as California, Connecticut, Florida and a handful of others, have the most comprehensive protections. But states don’t have jurisdiction over most health plans sponsored by large employers, which cover about 100 million people and operate under the umbrella of a federal law.

Associated Press writer Ricardo Alonso-Zaldivar contributed to this story from Washington.

DON'T MISS

Man Sets Himself on Fire Outside Trump Hush Money Trial Court

DON'T MISS

McDonald’s Ice Cream Machines Are So Unreliable They’re a Meme. They Might Also Be a Climate Solution.

DON'T MISS

Real Estate Experts Talk Fresno’s Economic Future. Are Tough Times Ahead?

DON'T MISS

Unlocking the Secrets to Fresno State’s Superb Baseball Season

DON'T MISS

‘This Is How to Improve Reading Proficiency. We Just Have Execute It’: FUSD Board President

DON'T MISS

Does Dyer Support (or Endorse) Bredefeld for Supervisor?

DON'T MISS

Get a 3D First Look at Merced’s High-Speed Rail Station Design

DON'T MISS

California Court to Decide on Transgender Ballot Measure Wording

DON'T MISS

Rare House Vote Sees Ukraine, Israel Aid Advance as Democrats Join Republicans

DON'T MISS

Full Jury and 6 Alternates Seated in Trump’s Hush Money Trial

UP NEXT

Rare House Vote Sees Ukraine, Israel Aid Advance as Democrats Join Republicans

UP NEXT

Full Jury and 6 Alternates Seated in Trump’s Hush Money Trial

UP NEXT

Barbara Corcoran: 1% Interest Rate Drop Will Send Housing Prices ‘Through the Roof’

UP NEXT

Juror Dismissed From Trump Hush Money Trial. Prosecutors Seek to Hold Former President in Contempt

UP NEXT

Biden Backs House’s Aid Package for Ukraine, Israel While Speaker Johnson Battles to Retain Position

UP NEXT

Myanmar’s Ousted Leader Suu Kyi Moved From Prison to House Arrest Due to Heat, Military Says

UP NEXT

NPR Editor Suspended Over Claims of Network’s ‘Progressive Worldview’

UP NEXT

Wall Street’s Mixed Trading Day

UP NEXT

New Recruiting Programs Put Army, Air Force on Track to Meet Enlistment Goals. Navy Will Fall Short

UP NEXT

Justice Thomas Misses Supreme Court Session Monday With No Explanation

Unlocking the Secrets to Fresno State’s Superb Baseball Season

10 hours ago

‘This Is How to Improve Reading Proficiency. We Just Have Execute It’: FUSD Board President

10 hours ago

Does Dyer Support (or Endorse) Bredefeld for Supervisor?

11 hours ago

Get a 3D First Look at Merced’s High-Speed Rail Station Design

12 hours ago

California Court to Decide on Transgender Ballot Measure Wording

12 hours ago

Rare House Vote Sees Ukraine, Israel Aid Advance as Democrats Join Republicans

14 hours ago

Full Jury and 6 Alternates Seated in Trump’s Hush Money Trial

14 hours ago

Wired Wednesday: How High Will the Price of Gold & Silver Go?

Video /

15 hours ago

How 4/20 Grew From Humble Roots to Marijuana’s High Holiday

15 hours ago

Taylor Swift Drops 15 New Songs on Double Album, ‘The Tortured Poets Department: The Anthology’

16 hours ago

Man Sets Himself on Fire Outside Trump Hush Money Trial Court

NEW YORK — Police officials said they were reviewing whether to restrict access to a public park outside the courthouse where former Preside...

8 hours ago

8 hours ago

Man Sets Himself on Fire Outside Trump Hush Money Trial Court

9 hours ago

McDonald’s Ice Cream Machines Are So Unreliable They’re a Meme. They Might Also Be a Climate Solution.

9 hours ago

Real Estate Experts Talk Fresno’s Economic Future. Are Tough Times Ahead?

10 hours ago

Unlocking the Secrets to Fresno State’s Superb Baseball Season

10 hours ago

‘This Is How to Improve Reading Proficiency. We Just Have Execute It’: FUSD Board President

11 hours ago

Does Dyer Support (or Endorse) Bredefeld for Supervisor?

12 hours ago

Get a 3D First Look at Merced’s High-Speed Rail Station Design

12 hours ago

California Court to Decide on Transgender Ballot Measure Wording

MENU

CONNECT WITH US

Search

Send this to a friend