Surprise Medical Bills Fuel Fight Between Providers, Insurers

via Wall Street Journal

The growth of insurance plans built around small networks of health-care providers is fueling new fights over surprise medical bills, when patients inadvertently get care from out-of-network doctors.

Providers and insurers are blaming each other for sticking patients with higher bills in such cases, and nearly two dozen states have passed or are considering legislation to protect consumers.

“This issue is taking off like wildfire,” said Betsy Imholz, special projects director at Consumers Union, which has collected stories from some 2,300 patients of surprise bills ranging from $50 to thousands of dollars.

Surprise bills often occur when patients receive care at an in-network hospital, but end up being treated by an emergency physician, anesthesiologist, radiologist or other hospital-based specialist who doesn’t accept the same insurance.

Read the full article

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Eric is a Producer at Lockton Insurance Brokers, Inc., the world’s largest privately held commercial broker. Eric has over 23 years of experience in the insurance industry and has spent the last 11 years with Lockton. Eric specializes in Health & Welfare Benefits, Retirement Planning, and Executive Benefits. Eric's clients utilize his expertise in the areas of Plan Due Diligence, Transaction Structure, Fiduciary Oversight, Investment Design, Compliance and Vendor negotiation to improve the operational & financial outcome for each client. The Benefit Blog is a place to share that expertise and industry news.
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