DOTmed December 6, 2021
A new study published in the Journal of Radiology found wild variation between insurance billing and hospital pricing for medical scans, in some instances billing up to ten times more for the same service.
For decades, standard practice among hospitals has been to negotiate prices for services with insurance carriers via confidential agreements, the details of which were rarely made available to consumers for the purpose of comparison shopping. This practice has resulted in huge disparities between what is billed to different insurance companies, government health plans, and uninsured patients, for the same service.
In January 2021, a new rule promulgated by the Centers for Medicaid and Medicare Services (CMS), aimed at controlling the growth of healthcare costs by arming...
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