Surprise Balance Billing
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Emergency Physicians Recover A Higher Share Of Charges From Out-Of-Network Care Than From In-Network Care
Researchers used data from the Medical Expenditure Panel Survey to measure how much privately insured emergency patients paid when they likely received a surprise bill and how much physicians received in these situations.
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Medicare Advanced Imaging Payment: Dysfunctional Policy Making
USC-Brookings Schaeffer Initiative for Health Policy offers three recommendations for improving Medicare’s treatment of advanced imaging in ambulatory settings, two of which focus on setting prices and one on managing utilization.
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The Unfinished Business of Air Ambulance Bills
An overview in Health Affairs of the newly passed No Surprises Act and how the legislation will regulate surprise air ambulance bills.
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Recommendations for Implementing the No Surprises Act
Schaeffer Initiative experts examine several key implementation questions within the No Surprises Act and discuss options for resolving those questions.
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Our Experts On Surprise Balance Billing
Our Work In Surprise Balance Billing
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Understanding the No Surprises Act
A look at the No Surprise Act, a new federal law that ends surprise out-of-network billing. The law was passed late last year as part of the omnibus bill.
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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.
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Arbitration Decisions in New Jersey Surprise Billing Cases Result in Large Payouts
The mean award was 9 times higher than the median in-network price for the same services.
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High Air Ambulance Charges Concentrated in Private Equity- Owned Carriers
Private equity firm-owned air ambulance services charge markedly higher rates than other types of providers of the same service, according to new research.
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Surprise Medical Bills Increase Costs for Everyone, Not Just for the People Who Get Them
About 12% of insurers’ U.S. spending on in- and out-of-network medical care goes to six types of providers that commonly submit surprise bills.
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AJMC: Policies to Address Surprise Billing Can Affect Health Insurance Premiums
Policies to address surprise billing could reduce health insurance premiums by 1% to 5%.