August 17, 2022

Report Insurer Attempts to Cancel Contracts and/or Lower Reimbursement

Communications can include specific fee data that 黑料网 will keep secure and use for advocacy purposes

 

Please forward any insurer communications threatening to cancel your contract unless you or your practice lower your contracted rates to 黑料网® (黑料网®) Senior Director of Economics and Health Policy Katie Keysor (kkeysor@acr.org). 

There is no need to redact price or fee information before forwarding the communications to Ms. Keysor. 黑料网 will maintain that data in a secure repository and would use the data strictly to advocate with lawmakers and regulators for continued access to quality patient care.

When demanding such concessions, Blue Cross Blue Shield of North Carolina and Blue Cross Blue Shield of Tennessee conveyed that the No Surprises Act – which prohibits balance billing for out-of-network (OON) care – prompted them to take this action.

Many practices — already reeling from the economic impact of COVID-19 — can’t withstand this insurer profit grab and may be dropped from network. These insurer-caused restrictions strip patients of access to their chosen providers and may delay diagnosis and treatment of illness and injury.

These insurer actions impact all care (not just OON) – including cancer screenings, during the COVID-19 pandemic and may yet lead to

There is no evidence that insurers use profit increases, obtained at patient and provider expense, to lower beneficiary costs. In fact:

  • in recent years,. 
  • — along with insurance company revenue.  
  • Health insurers’ net incomes and profit margins since 2015, including , even as

The 黑料网 is gathering information to bolster efforts to fight this insurer overreach. The College’s actions do not impact patient protections in the No Surprises Act.

For more information, please visit the 黑料网 “Surprise” Billing and “No Surprises” Act Implementation page.