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NJ Mulls Arbitration for Disputes Over Out-of-Network Costs
By Michael Booth, New Jersey Law Journal, December 8, 2015
This post has been viewed 2,647 times.
This post has been viewed 2,647 times.
New Jersey lawmakers are considering legislation that would establish an arbitration framework to settle disputes between health-care providers and insurance companies when an insured uses an out-of-network provider, either by necessity or by chance.
The two-bill package, recommended for passage Nov. 23 by the Assembly Financial Institutions and Insurance Committee, is designed to prevent patients from being hit with surprise additional costs if they use an out-of-network provider.
Health-care providers and hospitals are lobbying against the legislative package, arguing that it is far too favorable to insurance carriers and that it would be too difficult for providers to set fair rates for reimbursement.
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