Health plans are backing a proposal from Connecticut Gov. Ned Lamont to cap the rates hospitals can charge for out-of-network services, the CT Mirror reported May 9.
The measure would bar providers from charging more than 240% of Medicare rates for any out-of-network services. Providers in the state have said the measure would put further pressure on revenue, and could lead some practices and hospitals to close, the CT Mirror reported.
The Connecticut Hospital Association estimates the cap could cut payments to hospitals in the state by $700 million annually.
The CT Association of Health Plans backs efforts to limit out of network rates, but supports “continued discussion” on how high the cap should be set, Susan Halpin, the group’s executive director, said.
Read more here.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
