Surprise Balance Billing
Our work in Surprise Balance Billing
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.Categorized in
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.
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.
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.
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.
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.
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.
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.
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.
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%.