STAT January 6, 2020
Jackson Williams

Surprise medical bills have become the bane of many Americans who are seen in emergency departments. These bills arise because hospital-based physicians, who are mostly employed by private equity-owned staffing firms, decline to join insurers’ provider networks.

These doctors double dip by getting paid by insurers and then collecting a balance from patients. They also use their ability to bill out of network to negotiate higher fees when they do sign contracts.

Business and consumer advocates have focused on legislative solutions to this problem, but efforts in Congress have stalled.

I’m an advocate for people who need dialysis due to advanced kidney disease. A 2015 survey of our members found that 30% of those with commercial insurance had received at...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Congress / White House, Govt Agencies, Health System / Hospital, Insurance, Patient / Consumer, Physician, Provider, RCM (Revenue Cycle Mgmt), Regulations
FDA launches initiative to advance home healthcare models, devices
HHS releases national suicide prevention strategy, plan
Opinion: Balancing hope and reality: The promise and peril of blood-based colorectal cancer screening
A new kind of gene-edited pig kidney was just transplanted into a person
Patient Engagement Is Essential for Achieving the Goals of Value-Based Care

Share This Article