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Copyright © 2019 ALM Media Properties, LLC. All Rights Reserved.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.