Patients Getting Surprise Bills After Colonoscopies


Despite that, one in eight claims included out-of-network charges. That translated to nearly 136,000 colonoscopies for which patients potentially received a surprise bill. (There was no way to determine how many patients actually did, Scheiman said.)

Those out-of-network charges were typically around $1,000. Accounting for the portion the insurer would likely pay, the researchers estimated that the typical surprise bill would be about $400.

Overall, anesthesiologists and pathologists (doctors who study tissue samples) accounted for most out-of-network charges, the investigators found.

And that’s no surprise, said Loren Adler, associate director of the USC-Brookings Schaeffer Initiative for Health Policy, in Washington, D.C.

In general, Adler said, surprise bills come from a limited number of specialties — the providers patients do not choose. Emergency room doctors, anesthesiologists, radiologists and pathologists — as well as ambulance services — are the primary sources.

“In my eyes, this is because of a market failure,” Adler said. A primary care doctor or surgeon, for instance, has a big incentive to join health plan networks — to attract patients covered by those plans.

But with certain specialties, the hospital or other workplace determines how many patients a provider sees. Those doctors can remain out-of-network, charge what they want, collect some amount from the insurance company — and then bill the patient for the balance.

The practice obviously has financial consequences for patients. But it’s also costly to anyone with private health insurance, Adler said. Plans raise their monthly premiums to help cover the costs of out-of-network providers.

That’s partly because health plans do sometimes pay the full out-of-network charge. It’s also because those same specialists command higher in-network prices compared to other specialties, he noted.

Many hospitals have moved to address the problem, requiring doctors to join their center’s insurance networks, Adler said.

A broad solution would be legislation to cap out-of-network charges, he added. Some states have passed laws to at least partially protect patients from surprise bills, but federal action has stalled.





Source link

31 thoughts on “Patients Getting Surprise Bills After Colonoscopies

  • August 3, 2023 at 5:34 pm
    Permalink

    Quality posts is the secret to invite the users to visit the web page, that’s what this web site is providing.

  • August 16, 2023 at 3:24 am
    Permalink

    Quality articles is the crucial to be a focus for the visitors to pay a visit the web site, that’s what
    this web site is providing.

  • August 16, 2023 at 6:34 am
    Permalink

    Having read this I thought it was really informative. I appreciate you taking the time and energy to put this information together. I once again find myself spending way too much time both reading and posting comments. But so what, it was still worth it!

  • September 3, 2023 at 3:16 am
    Permalink

    Excellent post. I was checking continuously this blog and I’m
    impressed! Very useful info specifically the last phase 🙂 I care for such information a lot.
    I used to be looking for this certain info for a very long time.

    Thank you and best of luck.

  • September 3, 2023 at 3:18 am
    Permalink

    An outstanding share! I have just forwarded this onto a colleague
    who has been doing a little research on this. And he actually bought me dinner due to
    the fact that I stumbled upon it for him… lol.
    So allow me to reword this…. Thank YOU for the meal!!
    But yeah, thanks for spending time to discuss this subject
    here on your blog.

  • September 3, 2023 at 3:29 am
    Permalink

    I know this if off topic but I’m looking into starting my own blog
    and was curious what all is needed to get set up?
    I’m assuming having a blog like yours would cost a pretty penny?
    I’m not very internet savvy so I’m not 100% positive.

    Any tips or advice would be greatly appreciated. Kudos

  • September 3, 2023 at 4:30 am
    Permalink

    It’s truly a nice and helpful piece of info. I’m satisfied
    that you simply shared this helpful information with us.

    Please stay us informed like this. Thank you for sharing.

  • September 3, 2023 at 4:36 am
    Permalink

    I am really loving the theme/design of your blog.
    Do you ever run into any browser compatibility issues?
    A couple of my blog visitors have complained about my blog not working
    correctly in Explorer but looks great in Firefox.

    Do you have any ideas to help fix this issue?

  • September 3, 2023 at 5:38 am
    Permalink

    Link exchange is nothing else but it is only placing the other person’s
    webpage link on your page at suitable place and other person will also do same for
    you.

  • September 3, 2023 at 7:37 am
    Permalink

    Does your site have a contact page? I’m having problems locating it but, I’d like to shoot you an e-mail.

    I’ve got some creative ideas for your blog you might be interested in hearing.

    Either way, great site and I look forward to seeing
    it improve over time.

  • September 3, 2023 at 8:27 am
    Permalink

    Hi! I simply want to give you a big thumbs up for the excellent information you’ve got right here
    on this post. I will be returning to your website
    for more soon.

  • September 3, 2023 at 10:19 am
    Permalink

    Do you have a spam issue on this website; I also am a blogger, and I was wanting to know your
    situation; we have developed some nice practices and we are looking to exchange solutions with other folks, please shoot me an e-mail if interested.

  • September 3, 2023 at 10:37 am
    Permalink

    Hi everybody, here every person is sharing these kinds
    of knowledge, therefore it’s good to read this website, and
    I used to pay a quick visit this website every day.

  • September 3, 2023 at 11:17 am
    Permalink

    Great beat ! I would like to apprentice while you amend your website, how could
    i subscribe for a weblog web site? The account helped me
    a appropriate deal. I were tiny bit familiar of this your broadcast provided bright transparent concept

  • September 3, 2023 at 6:02 pm
    Permalink

    Statistically speaking, the Banker’s hand
    will win 45.eight% of the time whilst the Player’s hand is likely tto win 44.six% of
    thhe time.

    My page;Baccarat Rules

  • September 4, 2023 at 5:41 pm
    Permalink

    Way cool! Some very valid points! I appreciate you penning this article and the rest of the website is really good.

  • September 5, 2023 at 12:14 am
    Permalink

    Current usrs will also get access to other kinds of bonuses, such ass reload bonuses, no cost spins, and pokker
    freerolls.

    my web page: Baccarat Rules

  • September 5, 2023 at 3:45 am
    Permalink

    Lego sets can be more than just a toy – they’re a way for us to use our imaginations.

    The Lego sets allow us the freedom to build our own stories.
    moms Lego
    Lego Technic challenges builders to create intricate mechanisms.
    Why have a LEGO Jack of All Bricks, when you could have a LEGO Jack of All Trades?
    The possibilities are endless!

  • September 6, 2023 at 3:34 pm
    Permalink

    Hey! Would you mind if I share your blog with my myspace group?
    There’s a lot of folks that I think would really enjoy your content.
    Please let me know. Thanks

  • September 7, 2023 at 12:22 am
    Permalink

    Hey there! I’m at work surfing around your blog from my
    new iphone! Just wanted to say I love reading through your blog and look forward to all your
    posts! Keep up the excellent work!

  • September 7, 2023 at 9:52 am
    Permalink

    Wow, awesome blog layout! How long have you been blogging
    for? you make blogging look easy. The overall look of your site is great, as well as the content!

  • September 9, 2023 at 9:06 am
    Permalink

    Betfred, FOX Bet, Circa Sportsbook, SuperBook Sports, and WynnBET
    are just a couple of of the existing selections.

    Feel free to surf to my web site … Visit website

  • September 9, 2023 at 3:34 pm
    Permalink

    Fantasy sports enable participants to select players across the league tto type their own fantasy teams.

    My blog post: 토토친구

  • September 12, 2023 at 4:06 pm
    Permalink

    The casino is situafed in the resort that will bbe thee web Baccarat Site of the opening annd closing ceremones for the 2018 Winter Olympics.

  • September 21, 2023 at 11:05 pm
    Permalink

    I am actually thankful to the owner of this site who has shared
    this fantastic post at at this place.

Leave a Reply

Your email address will not be published.