In the past, health plans sometimes have said they would pay for emergency care even if it’s out of network. The No Surprises Act now makes this a legal requirement in every state. The provider and insurer are supposed to negotiate a reasonable payment, leaving the patient out of the equation.
But what if the insurance company denies that the care is for an emergency? Or the hospital doesn’t supply the paperwork to prove it?
The electronic health records giant posted a 4.7% revenue increase last year as it prepares for its pending acquisition by Oracle.
The governor said the new law will help customers understand the "back end" pricing of prescription drugs and "lower inflated prices."
The condition, formally known as multisystem inflammatory syndrome in children, involves fever plus symptoms affecting at least two organs and often includes stomach pain, skin rash or bloodshot eyes.
CMS says it's working on broader ACO transformation efforts and will announce additional proposals soon.
A patient was charged more than $3,500 for a CT scan, which amounted to over 11 times the Medicare reimbursement rate, according to the lawsuit.
Patient lawsuits, unsuccessful so far, argue hospitals should have notified them about their practice of charging thousands of dollars in facility fees onto emergency department bills.
Northeast Ohio's three big healthcare systems — Cleveland Clinic, MetroHealth and University Hospitals — are working with a variety of community partners on a project to train workers quickly for entry-level positions that offer a path to career advancement.
The court had already turned down two emergency applications that sought to stop the mandate from going into effect.
The trial of an Ohio doctor accused in multiple hospital deaths began Tuesday with the defendant turning down a possible last-minute plea deal.
