Surprise Balance Billing
Our work in Surprise Balance Billing
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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%.
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Out‐of‐Network Air Ambulance Bills: Prevalence, Magnitude, and Policy Solutions
Out‐of‐network air ambulance bills are a type of surprise medical bill and are driven by many of the same market failures behind other surprise medical bills.
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Study Finds Surprise Medical Bills Springing from Ambulatory Surgery Centers
One-in-twelve episodes at ambulatory surgery centers had the potential to result in a surprise medical bill, according to the study.
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Prevalence And Characteristics Of Surprise Out-Of-Network Bills From Professionals In Ambulatory Surgery Centers
One-in-twelve episodes at ambulatory surgery centers had the potential to result in a surprise medical bill, according to the study.
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How the Cares Act Affects COVID-19 Test Pricing
How will the CARES Act impact COVID-19 test pricing? One of our Schaeffer Initiative experts suggests a change to require insurers to pay for testing at Medicare prices and prohibit balance billing patients.
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Regulating Out-Of-Network Hospital Emergency Prices: Problem And Potential Benchmarks
Melnick focuses on the need and options to regulate hospital out-of-network emergency prices. Using data from California, he analyzes potential benchmarks for setting these prices.
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Provider Charges Relative to Medicare Rates, 2012-2017
Researchers examined data on charges for providers treating Medicare patients and compared them to Medicare’s set payment rate across specialties. They found specialties possessing the ability to surprise bill out-of-network patients higher charges relative to Medicare rates than other specialties.
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Experience with New York’s Arbitration Process for Surprise Out-of-Network Bills
Using data from the New York Department of Financial Services (DFS), USC-Brooking Schaeffer Initiative Associate Director Loren Adler found that the state’s arbitration process is substantially increasing what New Yorkers pay for health care.