Catalyst for Payment Reform July 24, 2023
Imagine recently having a medical procedure and you’re on the road to recovery. You’re beginning to feel well, planning to go back to work, and out of the blue, receive a medical bill that you weren’t expecting, sending you into emotional and financial distress. You went to a facility that was in your health plan’s network. The doctor that treated you was in your network. But were they? Unfortunately, this scenario and surprise medical bills plays out all too often; patients who “did the right thing” inadvertently received care (and bills) from physicians and providers outside of their health insurance network. Shockingly, studies indicate that this situation occurs approximately in 1 in 5 emergency room visits and between 9% and...
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