Doctor’s have established fees, they join a network and accept condiderably lower fees OR they don’t join and charge their normal fee paid in part or whole by the patient.
Presumably the arbitration called for in this legislation will result in a final payment above the network fee and below the established fee.
So why would any doctor join a network if they can receive a higher payment by not joining?
The deal — by Health, Education, Labor and Pensions Committee Chairman Lamar Alexander, R-Tenn.; Energy and Commerce Committee Chairman Frank Pallone Jr., D-N.J.; and ranking member Rep. Greg Walden, R-Ore. — would prohibit health care providers from sending so-called “surprise medical bills” to patients that are inadvertently treated by an out-of-network doctor.
The lawmakers have not yet released the text of the agreement. The three said in a statement that insurance companies and providers would determine payment through a new dispute resolution system that includes arbitration.
The statement did not specify how arbitration, which has been the primary flashpoint in the debate, would be used.