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Monday, November 2, 2015

Texans to Bring Three Resolutions to AMA House Meeting


The American Medical Association House of Delegates convenes for its 2015 interim meeting in Atlanta on Nov. 14. The Texas Delegation to the AMA is bringing three new policy resolutions for the house to consider:
  • Resolution 808 is the first of two items we are taking regarding balance billing. It asks AMA to seek changes in federal law to require health insurers to disclose their median in-network payment rates and the amount they pay for out-of-network emergency services. It also asks for a federal law to allow people who buy their insurance from the Affordable Care Act (ACA) marketplace to be able to buy additional coverage that would pay in-network benefits for out-of-network claims for labor and delivery, emergency care, and any subsequent in-hospital care.

  • Resolution 215 is a reaction to the National Association of Insurance Commissioners’ (NAIC’s) move to inappropriately regulate physicians by prohibiting out-of-network billing in certain circumstances. Our resolution calls on AMA to push the Centers for Medicare & Medicaid Services (CMS) — not NAIC — to develop and adopt strong network adequacy standards for health plans offered on the ACA exchange.

  • Resolution 216 would direct AMA to advocate that CMS develop a one-portal system with a single username and password for all physician data reporting and retrieval in Medicare quality programs.

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