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Instant Insights

Instant Insights / Health Care Cost Transparency, Surprise Billing, and the Employee Benefits Industry

Typically, patients, and their employers, don't know the cost of health care or are given inaccurate estimates. Then come the surprise medical bills and costly overruns of employers' benefits budgets. Here's a look at the health care cost transparency problem and how people are trying to solve it.

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  • My wife's story: Anatomy of an insane health care billing system

    Carl C. Schuessler | August 17, 2018

    The purchase of medical goods and services by employer health plans resembles no other business transaction in American commerce.

  • Analysis

    Hospitals charge employers 240% more than Medicare

    Scott Wooldridge | May 13, 2019

    Prices range from 150 percent of Medicare prices at the low end to 400 percent at the high end.

  • News

    Alexander, Murray introduce bipartisan bill to end surprise bills

    Rachel Bluth, Kaiser Health News | May 24, 2019

    The mammoth piece of legislation would target nearly every area of the health care industry for reform, including prescription drugs, transparency and health information.

  • Transforming health care with transparency: 4 considerations beyond price

    Jayesh Patel | May 10, 2019

    While the renewed focus on the potential for cost transparency to transform the patient experience is exciting, we hope it will stay grounded in just how difficult it is to execute on this vision.

  • Analysis

    Report: Health care price variation costs $18 billion a year

    Scott Wooldridge | May 30, 2019

    Consumers often don't know how much variation there is in health care services between providers, and it's costing them.

  • Load More Stories
  • Market Insights

    Hospitals and health systems too slow In responding to consumer demands

    Scott Wooldridge | June 07, 2019

    According to consumers, health systems are coming up short on digital access, price transparency and affordability of care.

  • News

    California takes aim at surprise billing for emergency services

    Ana B. Ibarra, Kaiser Health News | May 29, 2019

    Lawmakers are now trying to close gaps in the state's surprise billing law and limit how much hospitals can charge for out-of-network emergency care.

  • News

    3 takeaways from the House's 'surprise bill' hearing

    Allison Bell | May 23, 2019

    H.R. 861, would require any hospital seeking to participate in Medicare to provide any out-of-network insured patients with detailed cost notices.

  • News

    Posted hospital prices may be confusing, but it's an important first step, CMS says

    Marlene Satter | January 14, 2019

    Hospitals are now required to post their chargemaster prices online, but the information is confusing and often unintelligible.

  • Analysis

    Surprise bills hit 1 in 7 patients

    Scott Wooldridge | April 03, 2019

    Florida residents see the greatest number of surprise bills, while Minnesota sees the least.

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  • My ER experience and the unsustainable health care trajectory

    Jon Zeisler | December 05, 2018

    It wasn’t my first ER experience, but it was my first ER visit in almost 30 years. And it wasn’t like you see on TV.

  • Surprise billing: the U.S. needs better definitions

    Alex Tolbert | February 15, 2019

    Here are some proposed terms and definitions that might make creating, passing and implementing “surprise billing” legislation easier.

  • News

    Baseball-style arbitration to settle medical bills?

    John Tozzi | February 11, 2019

    The price-negotiation strategy encourages doctors and insurers to offer more moderate (and reasonable) rates for medical bills.

  • News

    Jury deems Centura Health $230K surgical bill 'unreasonable,' awards $766

    Greg Land | June 21, 2018

    A woman was sued by a Colorado hospital seeking more than three times what it had already been paid for her surgery.

  • Balance-billing court cases force hospitals to justify charges

    Julie Appleby, Kaiser Health News | December 26, 2018

    As balance billing becomes more common, courts have stepped in to mediate cases and determine what "average market price" a hospital can actually charge.

  • Load More Stories

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