Becker's Healthcare March 11, 2020
If out-of-network hospital payments were capped, up to $124 billion could be saved annually, according to new findings published by RAND Corp.
To come to this conclusion, RAND researchers studied four proposals that cap out-of-network hospital billing to:
- 125 percent of Medicare payment rates
- 200 percent of Medicare payment rates
- the average of payments made by private health plans in a state, and
- 80 percent of average billed charges in a state
Under a strict proposal like limiting out-of-network payments to 125 percent of Medicare rates, the...
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