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The Texas Society of Anesthesiologists has learned that President Trump will announce an Executive Order today during a rally in North Carolina (3:30pm CTZ) which will ban balance billing for all out-of-network physicians and set reimbursement at Medicare rates.
Our understanding of the Executive Order is that all hospitals participating in Medicare will be required to ensure adequate access to in-network physicians as a condition of their participation. All out-of-network procedures will be reimbursed at Medicare rates. Since it is tied to the hospital’s condition of participation, we are concerned this would apply to federal and state regulated insurance plans.
Our understanding of the Executive Order is that all hospitals participating in Medicare will be required to ensure adequate access to in-network physicians as a condition of their participation. All out-of-network procedures will be reimbursed at Medicare rates. Since it is tied to the hospital’s condition of participation, we are concerned this would apply to federal and state regulated insurance plans.