Project Description
In the Press
Distinguished Fellow and Advisory Board Member Tim Greaney was quoted in the 1/15/2021 Law360 article “3 Benefits Takeaways From New Surprise Medical Billing Law”:
How forcefully did the No Surprises Act target costs? Not quite as much as employers and insurers had hoped, said Thomas Greaney, a visiting professor of law at the University of California, Hastings. Instead of setting benchmark rates for doctors’ services, the law allowed doctors and plans to go into arbitration to determine final payments.
“I think the decision to go with arbitration rather than benchmarks certainly gives a lot more flexibility and breathing room for the providers in terms of what the ultimate payouts look like,” Greaney said.
The arbitration approach thus renders the long-term cost impact of the No Surprises Act on health plans more uncertain than it might have been with the benchmarking approach, he said.
Source Sightings
A Step Forward for Health Care Market Oversight: Oregon Health Authority’s Health Care Market Oversight Program
Antitrust’s Healthcare Conundrum: Cross-Market Mergers and the Rise of System Power
Challenging Anticompetitive Cross-Market Health Mergers
American Bar Association 2022 Antitrust Fall Forum
The Rise Of Cross-Market Hospital Systems And Their Market Power In The US
Taming Health Insurance Costs for Employers and Employees