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108 Geo. L.J. 1655 (2019-2020)
Surprise Medical Bills: How to Protect Patients and Make Care More Affordable

handle is hein.journals/glj108 and id is 1674 raw text is: Surprise Medical Bills: How to Protect Patients and Make Care More Affordable DAVID A. HYMAN,* BENEDIC IPPOLITO** & CHARLES SLVER*** TABLE OF CONTENTS INTRODUCTION. ..................................................... 1656 I. SURPRISE MEDICAL BILLS 101 ............................. 1657 A. ANECDOTES ............................................. 1657 B. HOW COMMON IS SURPRISE MEDICAL BILLING?.................. 1658 C. ECONOMICS OF SURPRISE MEDICAL BILLS ...................... 1661 II. REFORMS .. ................................................... 1664 A. STATE-LEVEL INITIATIVES .................................. 1664 1. The Independent-Dispute-Resolution (IDR) Approach .. 1665 2. The Rate-Setting Approach ....................... 1667 3. The Pay-Up Approach........................... 1669 4. The Transparency Approach ...................... 1669 5. NAIC Model Act-Approach ...................... 1670 6. Limitations of State-Based Approaches .............. 1670 B. FEDERAL INITIATIVES. ..................................... 1671 III. PROTECTING PATIENTS AND MAKING CARE MORE AFFORDABLE........ ..1673 A. WHAT SHOULD WE DO ABOUT SURPRISE BILLS? ................. 1673 B. MOVING BEYOND THE IMMEDIATE PROBLEM ................... 1676 CONCLUSION ...................................................... 1677 * Scott K. Ginsburg Professor of Health Law & Policy, Georgetown University Law Center. 0 2020, David A. Hyman, Benedic Ippolito & Charles Silver. ** Resident Scholar in Economic Policy Studies, American Enterprise Institute. *** Roy W. and Eugenia C. McDonald Endowed Chair in Civil Procedure, University of Texas at Austin School of Law. 1655