Surprise Medical Bills March 17, 2016 Issue Brief This brief explores the problem of “surprise medical bills” — charges arising when an insured individual inadvertently receives care from an out-of-network provider. It reviews studies on the extent of the issue, including Kaiser Family Foundation polling data, and outlines state and federal policy responses, including rules and proposed rules for Medicare and plans in Affordable Care Act marketplaces.
In N.Y. Policy on Out-of-Network Medical Bills, a Model for Other States? January 11, 2016 Perspective In this column for The Wall Street Journal’s Think Tank, Drew Altman discusses surprise bills for out-of-network care, and New York state’s solution to the problem.
In N.Y. Policy on Out-of-Network Medical Bills, a Model for Other States? January 11, 2016 News Release In his latest column for The Wall Street Journal’s Think Tank, Drew Altman discusses surprise bills for out-of-network care, and New York state’s solution to the problem. All previous columns by Drew Altman are online.
JAMA Forum: Surprise, Surprise February 3, 2016 Perspective Larry Levitt’s February 2016 post explains how “surprise medical bills” — unanticipated charges for out-of-network care – can happen. It describes some government approaches to the issue and outlines the challenges to protecting consumers. The post is now available at The JAMA Forum.
Surprise Bills Often Hit in Emergencies December 9, 2019 Perspective In an Axios column, Drew Altman previews new data highlighting that people with critical health issues are especially vulnerable to these bills.
COVID-19 Test Prices and Payment Policy April 29, 2021 Issue Brief This analysis examines list prices for COVID-19 testing at the largest hospitals in every state and finds they range widely from $20 to $850. Federal law now requires private insurers to cover COVID-19 tests at no cost to the patient and provides funding for people without health insurance.
Want to protect people with preexisting conditions? You need the full Affordable Care Act. October 22, 2020 Perspective In this perspective published by the Washington Post, KFF Executive Vice President for Health Policy Larry Levitt explains why the popular Affordable Care Act provisions that ensure people with pre-existing conditions can access affordable health insurance can’t easily be preserved if other related provisions are overturned.
Surprise Medical Bills: New Protections for Consumers Take Effect in 2022 February 4, 2021 Fact Sheet This summarizes key provisions of the No Surprises Act, enacted in December 2020 to address the problem of unexpected medical bills, and issues that could arise during implementation ahead of its Jan. 1, 2022 effective date.
Ground Ambulance Rides and Potential for Surprise Billing June 24, 2021 Issue Brief This analysis for the Peterson-KFF Health System Tracker finds that half of emergency ground ambulance rides result in an out-of-network charge for people with private health insurance, potentially leaving patients at risk of getting a surprise bill.
Analysis: Half of Emergency Ambulance Rides Lead to Out-of-Network Bills for Privately Insured Patients June 24, 2021 News Release About half of emergency ground ambulance rides result in an out-of-network charge for people with private health insurance, potentially leaving patients at risk of getting a surprise bill, a new KFF analysis for the Peterson-KFF Health System Tracker finds. Congress last year enacted the “No Surprises Act,” which prohibits most…