Congress has taken steps to tackle outsize medical air transport balance bills in the FAA Reauthorization Act by requiring executive agencies to step up efforts for price transparency and consumer support. But will that be enough?
DaVita Medical Holdings paid the U.S. Justice Department $270 million to settle allegations that it used improper Medicare Advantage billing practices that led to inflated payments.
Consumers blame insurers and hospitals for surprise bills. Lawmakers and regulators appear ready to address the problem since the industry hasn't.
A Senate proposal would take aim at hospital balance billing—a practice that has caused sticker-shock reverberations across the country and sparked increasing public outcry.
In a letter to Transportation Secretary Elaine Chao, Sens. Claire McCaskill (D-Mo.) and Roger Wicker (R-Miss.) urged the agency to use regulatory action to curb the growing costs of emergency air transport.
Patients' Kafkaesque experiences with out-of-network bills and opaque healthcare bureaucracies are common. But there's no sign yet that help is on the way from federal policymakers.
Surprise billing continues to be one of the most vexing problems facing the industry. Patients often don't know that the anesthesiologist or another provider are out-of-network when they go in for care. Then the surprise—usually shock—when the bill arrives.
The public holds insurers and hospitals most accountable when they receive an unexpected charge, many of which may be related to an out-of-network service or provider or consumers' misunderstanding, according to a new survey.
The owners of a New Hampshire provider stopped caring for 16 veterans as of Friday because they were unable to get about $60,000 in bills paid by the Veterans Affairs Department.
Providence Health and Services has been sued by a data analysis firm that claimed the 50-hospital system pushed its doctors to add complications or comorbidities to treatment documents so they could get higher Medicare reimbursement.
A key Senate health panel explored ways to standardize prior authorization across the insurance industry, but at least one witness was frustrated that lawmakers focused on creating new regulations before rolling back existing rules.
Cedar's software helps billing departments generate easier-to-read bills that explain to customers what they are paying for. The software also enables billing departments to chat with patients online.