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Witnesses back site‑neutral billing and other cost‑containment measures while debating tradeoffs
Summary
Blue Cross, Health First and provider groups discussed site‑neutral billing, reference‑based pricing, facility fees, prior authorization, and association health plans in testimony on H.585; witnesses agreed on testing and modeling before large policy changes.
Witnesses at the H.585 hearing said site‑neutral billing and related cost‑containment tools could lower out‑of‑pocket costs and premiums but urged careful, evidence‑based implementation.
Courtney Harness of Blue Cross and Blue Shield of Vermont called site‑neutral billing "the most important piece of this entire bill" for its potential dollar impact while warning that a full and immediate rollout could imperil hospitals. Harness cited prior modeling presented to the committee that put potential system‑wide impacts into the hundreds of millions, but said the insurer needs further…
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