Can self-funded employers opt out of this all together?
Couldn’t they tell their carrier: “we don’t want you to negotiate with the provider at all. Pay the provider a R&C amount for this service. They’ll go after the member for the remaining balance, as they would anyway”.
I understand they may not want to do this, but is it possible?
Early NSA dispute resolution results will encourage providers to crank up billed charges and opt out of network
Can self-funded employers opt out of this all together?
Couldn’t they tell their carrier: “we don’t want you to negotiate with the provider at all. Pay the provider a R&C amount for this service. They’ll go after the member for the remaining balance, as they would anyway”.
I understand they may not want to do this, but is it possible?