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In battle over surprise bills, Senate ponders requiring in-network rates
Modern Healthcare

The Senate’s health committee has proposed three options to ban surprise medical bills. But one of them—the technically named “in-network matching guarantee” policy—has raised especial rancor from specialty physician groups and some hospitals for how it could shake up industry practices that have taken root over years.

The intensity of the criticism shows how high the stakes have gotten. Under the in-network matching guarantee—as outlined in the 165-page draft legislation from Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.)—any doctor or clinician who treats a patient in an in-network hospital would have to accept the patient’s in-network rate.