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Tuesday, Feb 16 2016

Full Issue

Obama Takes Aim At Surprise Medical Expenses In Budget

Patients face unexpected charges usually because of large payment disagreements between insurance companies and physicians, and the president's plan would remove patients from the equation completely. In other news, turmoil awaits as Congress moves forward with its own budget plans.

Embedded within President Barack Obama's 2017 budget for HHS is a provision to 鈥渆liminate surprise out-of-network healthcare charges for privately insured patients.鈥 Details are scant, but the administration would try to solve the problem by requiring physicians who 鈥渞egularly provide services in hospitals鈥 to accept in-network rates, even if they aren't in the insurer's network. Hospitals would also have to 鈥渢ake reasonable steps鈥 to ensure patients see in-network physicians. (Herman, 2/11)

The current turmoil between the White House and Senate Republicans over an upcoming Supreme Court appointment appears to introduce the possibility of a higher level of legislative gridlock on the annual spending bills. The court vacancy also will likely influence current Supreme Court deliberations on abortion and contraception services mandate cases. ... Any reductions in non-defense discretionary spending targets could threaten any plans for funding increases for medical research programs and other health care funding priorities. Changes to set spending levels for fiscal 2017 likely will prompt Senate Democrats to block action on the annual spending bills. Additionally, recent budget plans offered by the GOP-led House have proposed major changes to the beneficiary structure of Medicare and federal funding for Medicaid. (2/16)

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