From Axios:
Driving the news:
A committee of ambulance providers, patient advocates, insurance experts, and other advisers is recommending Congress adopt a tiered payment system for reimbursing out-of-network ambulance rides.
Under the proposed policy, insurers would pay ambulance providers either an amount set in state law, if one exists, or locally set ambulance rates.
If local rates also don't exist, insurers would pay a congressionally-determined rate that's higher than Medicare reimbursement.
Advisers also suggested a $100 cap on patient costs for out-of-network ambulance rides. This could keep insurers from passing costs along to patients if local governments set high rates for ambulance rides, Kelmar said.
The advisory committee's report was released publicly at the end of August, though the committee adopted the recommendations earlier this year.
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