Suzanne Delbanco, PhD, Executive Director of Catalyst for Payment Reform, connects with Erin Fuse Brown, JD, MPH, Associate Professor of Law and Director of the Center for Law, Health & Society at the Georgia State University College of Law.
In this episode, Professor Fuse Brown provides an overview of the No Surprises Act and what employers should be paying attention to with regards to surprise billing protections.
Erin Fuse Brown and Suzanne also discuss health care pricing regulations, including the emergence of state-led public option health plans. They also explore the various types of mergers and acquisitions – beyond just hospital-to-hospital consolidation – that are contributing to rising health care costs for employers and diminishing access for consumers.
Featured quotes:
“There’s lots of things that states can do [to address provider market power] because the federal government is still focused on those really big, consolidated efforts and yet we see all this stealth consolidation happening under the radar.”
“In some ways, the No Surprises Act is a win because now we have one set of rules that will apply across the country, and that will make the rules of the road a little easier to navigate.”
“We’re starting to see evidence that other forms of consolidation are also harming competition, raising prices, diminishing access. It may be too late if we focus only on the hospital-to-hospital consolidation and ignore all of this other consolidation that’s happening.”