Forbes June 10, 2019
Patients often assume that their health insurance will cover emergency care or major procedures. They’re caught by surprise when they find out that they’re not fully covered.
Of all the euphemisms in U.S. healthcare billing practices, so-called “balance billing” may take the cake. Balance billing, better known as surprise billing, happens when a patient receives care from a doctor or hospital outside of her insurer’s network. Subsequently, the doctor or hospital bills the patient for the amount insurance didn’t cover. Needless to say, these bills can be hefty. They add insult to injury, tormenting the American consumer of healthcare.
Surprise bills are symptomatic of the extraordinarily complex ways in which healthcare prices are set in the U.S. Supposedly, balance bills...