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Hospital and provider groups may hate the leading House and Senate proposals for ending surprise medical bills, but the largest providers will likely be least affected, according to a Moody's analysis.

Driving the news: The Federation of American Hospitals, the American Hospital Association and the American Medical Association all oppose tying payments for out-of-network care to the median in-network rate for the service.

  • "That approach would eliminate incentives for plans to contract — and likely encourage plans to drop contracts — with providers who are currently above that amount," the AMA said in a statement.

What they're saying: This wouldn't be bad for all providers, according to Moody's — just the ones that collect higher-than-average payments.

  • If median rates are low, insurers may not have as much incentive to build provider networks, as they may end up paying less for an out-of-network claim than an in-network one.
  • Large providers, thanks to their scale and negotiating leverage, are already more likely to be in-network than smaller providers.

Overall, resolving surprise medical bills for patients is "mostly credit negative" for the industry, according to Moody's — which implies that the industry benefits from the ability to balance bill patients.

What we're watching: The change could lead to further provider consolidation, Moody's predicts.

  • The proposal "would make it more attractive for smaller group providers of anesthesia, emergency and other services to be part of a larger, in-network group," the authors write.

Go deeper: Surprise billing proposals don't address ambulances

Go deeper

Mike Allen, author of AM
41 mins ago - Economy & Business

First look: Business puts muscle behind Biden

Business Roundtable, the voice of America's top CEOs, today launched "Move the Needle," a campaign to support President Biden in rolling out COVID vaccines, increasing vaccine uptake and encouraging masks.

What they're saying: "Masks and vaccines are working. Now is the time to keep at it, overcome pandemic fatigue, and double down on the measures that will end this public health and economic crisis, said Business Roundtable president and CEO Josh Bolten.

54 mins ago - World

U.S. notified Israel in advance about Syria strike

Photo: Abir Sultan/POOL/AFP via Getty Images

The Biden administration notified Israel in advance about the airstrike against an Iranian-backed Shiite militia base on the Syrian-Iraqi border Thursday evening, Israeli officials told me.

Why it matters: The airstrike was the first overt military action by the U.S. in the Middle East since Biden assumed office, and one that Israeli officials see as a positive signal about the new administration's posture toward Iran.

The sovereign state of Facebook vs. the world

Illustration: Aïda Amer/Axios

Facebook's 3 billion monthly active users, its mountain of money and its control over the flow of information all put the company on an equal footing with governments around the world — and, increasingly, it's getting into fights with them.

Why it matters: Facebook's power alarms governments fearful that the tech giant could tilt the political scales inside their borders, and regulators around the world are seeking ways to rein the company in.

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