ROI-NJ: Sarlo, in letter to Muoio, asks N.J. to look into details of health insurance contracts

Read this article as it appeared in ROI-NJ on April 30, 2018 Reining in health care costs continues to be a challenge for many corporations and self-funded plans. The story isn’t any different for the state of New Jersey, the largest employer in the state. State Sen. Paul Sarlo (D-Wood-Ridge) is trying to find new solutions — and potentially hundreds of millions of dollars in savings for the state — by addressing the issue in a different way: Paying closer attention to how the state pays its contracted plan managers. Continue reading

ROI-NJ: N.J. doctors worry out-of-network bill won’t control insurance industry abuses

Read this op-ed as it originally appeared on April 18, 2018 in ROI-NJ.  Assembly Speaker Craig Coughlin and state Sen. Joseph Vitale have done a commendable job of highlighting the plight of New Jersey citizens who face “surprise” out-of-network medical bills. This is a devastating crisis, and it is happening every day to thousands of unsuspecting patients around the state. The effect on family finances can be catastrophic. Continue reading

The Record: Opinion: Sarlo-Cardinale bill provides real healthcare transparency

Read this article as it originally appeared on northjersey.com One of the most contentious healthcare issues being debated in the Legislature today is “out-of-network” reform. Far too many New Jerseyans have had to deal with surprise — even shocking — medical bills after a surgery or procedure because they were unaware of their insurers’ in-network and out-of-network benefits. Continue reading

NJSpotlight: Op-Ed: Out of Network Bill is Insurers' Dream and Middle-Class Nightmare.

Read this article as it originally appeared April 5, 2018 in njspotlight.com As Trenton currently looks to balance the budget, once again it’s our state’s hardest-working citizens who will be left holding the bag. This time, though, it will be the hardworking office and ancillary staff from our small-business private medical practices. Continue reading

NJSpotlight: Controversial Insurance Bill Advances Even As Doctors Give Dire Warnings

By Lilo Stainton Read this article as it originally appeared on March 6, 2018 in NJSpotlight. Physicians are ramping up their opposition to the Legislature’s effort to address out-of-network health insurance charges, as they claim the effort would reduce access to treatment and actually end up harming patient care. Continue reading

NJ.com: You've been smacked with $1B in surprise medical bills, Jersey. Now lawmakers are acting.

By Susan K. Livio Read this article as it originally appeared March 6, 2018 on nj.com. An Assembly panel approved legislation Monday its supporters said would protect patients from getting socked with bills from out-of-network doctors and hospitals -- a $1 billion problem lawmakers have failed to settle for nearly a decade. Continue reading

ROI-NJ: Arbitration still key to out-of-network legislative fight

By Anjalee Khemlani Read this article as it originally appeared on March 6, 2018 in ROI-NJ. The ongoing battle over out-of-network legislation to help curb the cost of non-emergency, surprise medical bills continues to hinge on the tools arbitrators are given to help resolve disputed bills. Continue reading

PoliticoNJ: Assembly panel approves 'out-of-network' bill, Senate version pulled

By Katie Jennings Read this article as it originally appeared on March 6, 2018 in Politico Pro (You must have a Politico Pro account) TRENTON — A long-debated measure to protect consumers from surprise out-of-network bills advanced along party lines from an Assembly committee on Monday, but was pulled from a hearing in the Senate, where some Democrats remained divided on the heavily lobbied issue. Continue reading

NJSpotlight: Budget debate delays potential out-of-network insurance reform

By Lilo Stainton Read this article as it originally appeared on July 6 on njspotlight.com. Stakeholders, lawmakers, and even critics agree that taming surprise medical charges is a critical issue for healthcare sector to address successfully. Once framed as an urgent priority for New Jersey by Gov. Chris Christie and some lawmakers — as well as a broad coalition of patient advocates, labor leaders and business interests — a proposal to reduce out-of-network medical bills failed to make it to the legislative finish line last week. Continue reading

TAPInto: Senator Vitale’s S-1285 will not lower health care costs

This op-ed originally ran June 28 on TAPInto.com By Dr. Jonathan Lustgarten Sen. Joseph Vitale and his supporters have promised our citizens substantial cost savings if his out-of-network bill, S-1285, becomes law.  He claims that by restricting how much emergency and trauma specialists get paid for saving human lives, New Jersey can save up to a billion dollars a year. The entire medical profession in New Jersey, including our hospitals, opposes this legislation because it would result in dangerous shortages of these specialists. The health of our citizens would be jeopardized. Continue reading