Private equity-funded doctors coalition spends $4 million lobbying on 'surprise' medical billing

Private equity-funded doctors coalition spends $4 million lobbying on 'surprise' medical billing
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A coalition of doctors groups owned by private equity firms and investment groups spent more than $4 million lobbying Congress last quarter on legislation that would end "surprise" medical bills.

Physicians for Fair Coverage spent $4.1 million between July 1 and Sept. 30, when the debate over surprise medical bills was heating up in Congress, according to lobbying disclosure reports filed Monday.


It's a record-high amount for the relatively new coalition, which spent less than $5,000 on lobbying during the same time period last year. The group spent $120,000 between April 1 and June 30 and $25,000 from Jan. 1 to March 31.

The lobbying campaign comes as Congress seeks to pass legislation banning providers from billing patients for costs not covered by insurance companies.

The practice can result in patients receiving costly bills, even if they seek care at in-network facilities but are unknowingly treated by doctors who don't participate in insurance networks and are employed by staffing firms. 

Physicians for Fair Coverage, a coalition of doctor staffing firms that includes ApolloMD, is fighting a House bill that would end that practice by setting the rates insurers would pay doctors. 

The coalition instead supports a bill, sponsored by Reps. Raul RuizRaul RuizThe Hill's Morning Report - Biden takes office, calls for end to 'uncivil war' California Democrat tests positive for COVID-19 CHC Chair Castro nominates 'Selena' for National Film Registry MORE (D-Calif.) and Phil RoeDavid (Phil) Phillip RoeHouse Republicans who didn't sign onto the Texas lawsuit Illinois Republican elected to serve as next ranking member of House Veterans' Affairs Committee Here are the 17 GOP women newly elected to the House this year MORE (R-Tenn.), both doctors, that would have an outside arbiter help set the payment rate. 

The doctor staffing companies that make up the coalition are funded by private equity groups such as ValorBridge, New Enterprise Associates, and Welsh, Carson, Anderson and Stowe, according to Kaiser Health News.

“This filing reflects federal advocacy efforts, including direct lobbying and our national advertising campaigns on behalf of more than 25,000 doctors around the country who want to end surprise medical billing and continue providing high quality care to their patients," Megan Taylor, spokeswoman for Physicians for Fair Coverage, said in a statement Tuesday.

"Our effort is in response to the insurance companies pushing a benchmarking policy that threatens physician practices and would hurt patient access to care," she added.

The House Energy and Commerce Committee in September launched an investigation into the role private equity firms play in surprise billing, sending letters to three companies, including Welsh, Carson, Anderson and Stowe.

"We are concerned about the increasing role that private equity firms appear to be playing in physician staffing in our nation’s hospitals, and the potential impact these firms are having on our rising health care costs," Chairman Frank Pallone Jr.Frank Joseph PalloneHouse Democrats urge Amazon to investigate, recall 'defective' products Asbestos ban stalls in Congress amid partisan fight Pharma execs say FDA will not lower standards for coronavirus vaccine MORE (D-N.J.) and Rep. Greg WaldenGregory (Greg) Paul WaldenHouse Republicans who didn't sign onto the Texas lawsuit OVERNIGHT ENERGY: Energy issues rule allowing companies to develop own efficiency tests for products | GOP lawmakers push back on Federal Reserve's climate risk efforts Bipartisan fix for 'surprise' medical bills hits roadblock MORE (Ore.), the top Republican on the committee, wrote in the letters.

Updated on Tuesday at 4:35 p.m.