Successfully Splitting the Baby: Design Considerations for Federal Balance Billing Legislation

This commentary outlines ways in which Congress can look to actions by state-level policymakers for guidance on how to achieve legislative compromise on balance billing.

The authors contend that a blended approach to compromise, which combines a requirement that insurers make a prompt minimum initial payment, with a prescribed dispute resolution process if the provider feels the amount is insufficient, could become a common base for balance billing legislation.