Statement attributable to
Barbara L. McAneny, MD
President, American Medical Association
“We agree with the president that patients should not be responsible for coverage gaps and for any costs beyond their in-network cost sharing when they do not have an opportunity to choose an in-network physician. We also agree that physicians and hospitals should be transparent about their costs, and payers should offer transparency about their networks, scope of coverage, and out-of-pocket costs. In addition, insurers should be held accountable for their contributions to the problem and ensure network adequacy, adherence to the prudent layperson standard for emergency care in current law, and reasonable cost-sharing requirements.
“Some of the principles raise more questions than answers, however. For instance, while the idea of a single bill sounds appealing, putting that into practice could have significant unintended consequences.
“Solutions that policymakers adopt must incorporate network adequacy requirements to reduce the likelihood of unanticipated out-of-network care from the start. Policymakers must establish incentives to negotiate fair contracts and build adequate networks.
“The AMA looks forward to working with the Administration and Congress. Our patients deserve a holistic solution that preserves access to affordable, high quality care.”
ph: (202) 789-7442
About the American Medical Association
The American Medical Association is the physicians’ powerful ally in patient care. As the only medical association that convenes 190+ state and specialty medical societies and other critical stakeholders, the AMA represents physicians with a unified voice to all key players in health care. The AMA leverages its strength by removing the obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises and, driving the future of medicine to tackle the biggest challenges in health care.