Thomas Force, Esq. Lobbies Against Bill Benefiting Elite Insurers

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President of The Patriot Group Testifies on Behalf of Out-of-Network Providers in New Jersey Senate

Thomas Force, Esq.

We need to get the industry engaged to stop these type of laws that have the potential of destroying out-of-network reimbursements country-wide.

At the request of the Medical Society of New Jersey, Thomas Force, Esq., President of The Patriot Group testified in opposition to a proposed bill that will negatively impact health care practices before the Appropriations Committee at the New Jersey State House in Trenton, NJ, Thursday October 27. You can read the bill in its entirety here. The following explains Mr. Force's stance on how the bill may negatively impact health care practices in New Jersey.

The bill, includes all plans (including self-funded plans) prohibits out-of-network providers from billing patients more than in-network rates. If passed, the bill would basically eliminate out-of-network reimbursements in the state of New Jersey. Further, it would essentially result in out-of-network allowed amounts at Medicare rates.

“This is the kind of legislation that is being attempted in New Jersey and in several other states, pushed by the powerful health plan and insurer elites. I testified for the NJ out-of-network providers in the State Senate in Trenton on Thursday. We need to get the industry engaged to stop these type of laws that have the potential of destroying out-of-network reimbursements country-wide,” says Force.

According to Force, the bill has greater implications. Although NJ legislature may think this bill will benefit patients, it will primarily benefit health insurance providers. In actuality, the passage of this bill will reduce consumer choices and opportunities to receive the best medical care possible. It will drive physicians out of New Jersey to other states such as New York, which accepts a Fair Health formula for out-of-network physicians and facilities.

“If passed, the law could result in a mass exodus of prominent out-of-network physicians, surgeons and facilities. New Jersey’s loss will be a gain for other states, which will likely lead to increased unemployment in the state of New Jersey,” says Force.

This bill has potential to effect health care practices nationwide. If you are a physician or office manager and would like more information about how this law may impact your practice, please contact Mr. Force at The Patriot Group.

About Thomas Force, Esq., President, The Patriot Group:
Force is a state and federally licensed attorney in both New Jersey and New York. Mr. Force has over 30 years of experience in the healthcare and insurance industries. His success as a Wall Street insurance litigator and his tenure as General Counsel for a New York-based Accident and Health Insurance Company where he served as Chief Compliance Officer propelled the founding of The Patriot Group, a full service healthcare revenue recovery, compliance and advocacy company serving physicians, hospitals, urgent care facilities, ambulatory surgery centers and other healthcare organizations nationwide. To learn more about The Patriot Group, visit

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Thomas Force, Esq.
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