Billing Beat

CA Surprise Medical Bill Law Lowers Hospital Reimbursement Rates

September 9, 2019

A case study shows a California law that sets out-of-network rates for surprise medical bills shifted bargaining power to payers and may have led to provider consolidation.

Policymakers have recently prioritized addressing surprise medical bills, or large, unexpected physician bills for out-of-network care received at hospitals that are within the network of the patient’s insurance plan.

Source: https://revcycleintelligence.com/news/ca-surprise-medical-bill-law-lowers-hospital-reimbursement-rates

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