Surprise, Surprise Surprise: Balance Medical Billing Raises Overall Cost of Health Plans

iStock

Surprise, Surprise Surprise: Balance Medical Billing Raises Overall Cost of Health Plans

Apr, 17th 2017

Surprise, out-of-network bills hurt consumers, but two new studies show these bills undermine competition between health insurance plans and particularly harm plans that are trying to limit costs by offering narrower network products.

Contracted, in-network providers agree to accept discounted reimbursement rates negotiated with health plans, and health plans typically charge patients lower cost-sharing liability for contracted services.

However, 20 percent of emergency department visits and resulting admissions at in-network facilities involved an out-of-network physician, according to the studies published in Health Affairs and The New England Journal of Medicine.

There's also the problem of balance billing beyond emergency physicians.

Because states play a large role in the regulation of insurance markets and are knowledgeable of...

Read More

Join Us. We are waiting for you!

Sign Up Today!

We welcome you to our community where you can gather and share information on debts and issues which may have your life unsettled. Together we thrive!


Logo mobile 4b2fda9e088d7249be95ede0cc3adea2de299a346ba55b450264e0c976b239c5

Join our community Today! IT'S FREE

Our Interactive Knowledge Base Has All The Infomation You Need To Settle Your Debt & Settle Your Life™

SIGN UP NOW!

Join, Resolve & Share!