In his book “Better: A Surgeon’s Notes on Performance,” best-selling author Dr. Atul Gawande traces the origins of the first pricing method for surgical services all the way back to ancient Babylon, ...
While out-of-network or potential “surprise” billing has garnered increasing attention, particularly in emergency department and inpatient settings, few national studies have examined out-of-network ...
To continue reading this content, please enable JavaScript in your browser settings and refresh this page. Eliminating out-of-network (OON) benefits in self-funded ...
Accountable Care Organizations formed for the first time in 2011 and were designed to combat rising medical costs and provide more coordinated care to Medicare patients. But the savings have been ...
Cost-sharing payments for OON care have increased significantly, posing a financial burden on enrollees, especially during nonemergent hospitalizations. Policy interventions are needed to protect ...
Despite expectations that Medicare accountable care organizations (ACOs) would curb health care spending, their effect has been modest. One possible explanation is that ACOs’ inability to prohibit out ...
The No Surprises Act (NSA) was signed into law on December 27, 2020, and provides consumers federal protections against surprise medical bills, prohibits balance-billing for certain out-of-network ...
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