Surprise Balance Billing
Our work in Surprise Balance Billing
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Commercial and Medicare Advantage Payment for Anesthesiology Services
This study compares payments for common outpatient anesthesiology services by commercial health plans, Medicare Advantage (MA), and traditional Medicare.
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Congress Ends Surprise Billing Implications for Payers, Providers and Patients
The No Surprises Act represents a rare bipartisan moment for Congress and a long-needed safeguard for patients that will reorient relationships among payers and providers.
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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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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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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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