Monday, April 3, 2017

Insurance Across State Lines


In the now-failed ACA repeal and replace bill was a plan to eventually allow health insurers to sell across state lines. While I support the idea, there is one huge answer that has not been addressed: provider agreements. Would each physician be forced to sign a provider contract with every out of state insurer they deal with, or do these agreements go by the wayside and each policy contain a provision stating the maximum the will pay on any one procedure code? Surely they won't just pay whatever the provider bills (?). If anyone knows the answer I’d love to hear it, as this is too important to not be addressed – especially when the stated aim is to lower insurance premiums.