Surprise Billing

Provider Groups Leery of New Surprise Billing Legislation

by Jacqueline LaPointe

A bipartisan group of Congressmembers has struck a deal over surprise billing protections for patients, but details of the draft legislation have some providers groups concerned about the bill’s...

White House Gives Congress Until Dec. 31 to Ban Surprise Billing

by Jacqueline LaPointe

UPDATED 09/30/2020 An executive order on a number of healthcare issues includes a new timeline for a surprise billing solution and further advancements in hospital price transparency. Signed by...

Surprise Billing Price Controls Decreasing Care Quality in CA

by Jacqueline LaPointe

Researchers at the Pacific Research Institute are warning Congressmembers to steer clear from price controls as a solution for surprise billing after finding that the policy approach had unintended...

Surprise Billing Action Needed, But Hospitals Urge Congress to Wait

by Jacqueline LaPointe

Lawmakers are focused on addressing surprise billing through federal legislation, but providers do not want the next coronavirus stimulus package to prohibit the practice that can cost patients...

Out-of-Network Bills Common for Some Pathologists, Other Specialists

by Jacqueline LaPointe

Out-of-network billing occurs infrequently for most specialty providers, but a select few always or nearly always bill out of network for inpatient and outpatient services, according to a new report...

Studies Examine Surprise Billing for Ambulance Rides, ASC Visits

by Jacqueline LaPointe

A pair of studies released ahead of the next edition of Health Affairs examined the prevalence of surprise billing and out-of-network charges for ambulance rides and ambulatory surgery center (ASC)...

CommonSpirit Health, Others Suspend Patient Billing for COVID-19

by Jacqueline LaPointe

One of the nation’s largest health systems recently announced that it will suspend patient billing for the testing and treatment of COVID-19. Patients presenting at one of CommonSpirit...

Out-of-Network Payment Cap Would Cut Hospital Spending by $124B

by Jacqueline LaPointe

Capping out-of-network payments to hospitals at 125 percent of Medicare rates could yield up to $124 billion in savings nationwide, making this a viable policy alternative to Medicare-for-All,...

42% of Anesthesiologists Had Contracts Terminated in Last 6 Months

by Jacqueline LaPointe

Anesthesiologists are being forced out of network as private insurers terminate their physician contracts with little to no notice, according to a recent survey conducted by the American Society of...

20% of Elective Surgery Patients Receive a Surprise Medical Bill

by Samantha McGrail

Privately insured patients who receive care from in-network physicians may receive surprise bills from out-of-network clinicians they did not choose when undergoing common surgeries, according to a...

Feds Go After Medical Debt Collection for Military Hospitals

by Jacqueline LaPointe

The federal government is pursuing medical debt collection for care received at military hospitals, and its collection tactics can be a lot more aggressive than the typical hospital’s strategy,...

Out-of-Network Billing for Hospital Care Boosts Spending by $40B

by Jacqueline LaPointe

Patients receiving care at in-network hospitals face a significant risk of out-of-network billing for services performed by hospital-based anesthesiologists, pathologists, radiologists, and assistant...