Stuck in the middle: Consumers harmed by contract disputes between providers, insurers
Contract disputes can cause financial and health risks for consumers when the disputes move providers into out-of-network status.
By Scott Wooldridge|March 18, 2020 at 10:07 AM
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Consolidation on both the payer and provider side of health care is heightening the disruption caused by contract negotiations between the two parties, a new study from finds. And although the disputes are usually resolved at some point, consumers can suffer both financial and health risks when the disputes move providers into out-of-network status.
The report from the Center on Health Insurance Reforms from the Georgetown University Health Policy Institute said that a decade of consolidation in the health care industry have led many areas to have more than 50 percent consolidation of providers or insurers, which have raised the stakes in provider-payer contract negotiations.
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