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Health Care Consolidation and Rising Costs Happen, but Obamacare Is Not the Key Culprit

Ñî¹óåú´«Ã½Ò•îl Health News Original

The debate over expiring Affordable Care Act tax credits has given Republicans room to resurface old criticisms — such as blaming the ACA for mergers and consolidation within the health care industry.

Qué ocurre cuando tus médicos ya no están en la red de tu aseguradora

Ñî¹óåú´«Ã½Ò•îl Health News Original

En todo el país, las disputas contractuales son comunes, con más de 650 hospitales involucrados en conflictos públicos con aseguradoras desde 2021.

So Your Insurance Dropped Your Doctor. Now What?

Ñî¹óåú´«Ã½Ò•îl Health News Original

Patients sometimes find themselves scrambling for affordable care when a contract dispute causes a hospital — and most of the doctors and other clinicians who work there — to be dropped from an insurance network. Here are six things to know if that happens to you.

Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say

Ñî¹óåú´«Ã½Ò•îl Health News Original

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.

Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.

Ñî¹óåú´«Ã½Ò•îl Health News Original

The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.

An Arm and a Leg: Meet the Middleman’s Middleman

Podcast

Why are patients facing bigger bills than they expect for out-of-network care? In this episode of “An Arm and a Leg,†the show explains the hidden mechanics of MultiPlan, a data firm that helps health insurers set these rates and make bigger returns.

An Arm and a Leg: How a Surprise Bill Can Hitch a Ride to the Hospital

Podcast

The No Surprises Act has helped rein in out-of-network medical bills, but ground ambulances are a costly exception. Hear why this service can still hit patients with big bills and what to do if you get one.

Biden’s Blanket Statement — ‘No More Surprise Billing’ — Doesn’t Quite Cover It

Ñî¹óåú´«Ã½Ò•îl Health News Original

The president used broad language to say that Americans no longer needed to worry about surprise bills, but there are exceptions to the new law that could cost unsuspecting consumers.

An Anesthesiology Practice’s Busy Day in Court Collecting on Surprise Bills

Ñî¹óåú´«Ã½Ò•îl Health News Original

Legislative crackdowns on out-of-network bills haven’t kept specialists from hitting patients with unexpected charges running into thousands of dollars.

Congressional Doctors Lead Bipartisan Revolt Over Policy on Surprise Medical Bills

Ñî¹óåú´«Ã½Ò•îl Health News Original

Congress last year shielded consumers from unexpected out-of-network charges, but hospitals and doctors have decried the arbitration plan put forward by the Biden administration for negotiating these bills as favoring insurers. More than 150 members of the House agree.

Last Thing Patients Need During Pandemic: Being Last to Know a Doctor Left Network

Ñî¹óåú´«Ã½Ò•îl Health News Original

Health plan network changes occur all the time as doctors retire, relocate or leave networks. Unfortunately, patients may be the last to find out about such changes because there are often few requirements that either providers or insurers inform them.

Needy Patients ‘Caught In The Middle’ As Insurance Titan Drops Doctors

Ñî¹óåú´«Ã½Ò•îl Health News Original

UnitedHealthcare is dropping hundreds of physicians from its New Jersey Medicaid network, separating patients from longtime doctors. Physicians charge the insurer is using its market power to shift business to practices it controls.

Elecciones 2020: guía para seguir el debate de salud

Ñî¹óåú´«Ã½Ò•îl Health News Original

Precios, tipo de cobertura, formas de acceder a la atención, son algunos de los temas que ya están dominando el debate en este año electoral.

Cómo elegir un seguro de salud de manera inteligente

Ñî¹óåú´«Ã½Ò•îl Health News Original

Las estadísticas muestran que la mayoría de las bancarrotas ocurren a causa de cuentas médicas. Por eso hay que elegir bien, para evitar facturas de horror.

It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.

Ñî¹óåú´«Ã½Ò•îl Health News Original

It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.