Recent Work
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Dispute Resolution Outcomes for Surprise Bills in Texas
Analysis of cases that went through dispute resolution found the final allowed were largely anchored to the established.
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Emergency Physicians Recover a Higher Share of Charges from Surprise Medical Bills
Emergency physicians recover a higher share of charges from out-of-network care than from in-network care.
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Arbitration Over Out-Of-Network Medical Bills: Evidence From New Jersey Payment Disputes
Arbitrators seemed to anchor decision around surprising billing to the 80th percentile of charges with the median decision being 5.7 times prevailing in-network rates for the same services.