Study: California Surprise Billing Fix Has Led To Provider Consolidation

By Ariel Cohen / August 29, 2019 at 1:06 PM
California's rate-setting model has reduced the number of surprise bills consumers face, according to a study from the RAND Corporation, but it has also shifted bargaining power toward insurers and has led to physician group consolidation. Many insurers and employer groups point to California as a successful example of using rate-setting to curb surprise medical bills as Congress debates a federal fix for surprise billing. “Although several states have policies in place to address surprise medical billing, California is one...


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