Connecticut considers bill to cap out-of-network costs

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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.

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