If arbitrators are required to consider or weigh the various factors “equally” under the No Surprises Act, it would be close to meaningless and leave them without an actionable framework for making decisions.
An op-ed in STAT highlights practices by dialysis facilities where they try to push patients into individual market plans by financing patients’ premiums for those plans
Associate Director, USC-Brookings Schaeffer Initiative for Health Policy
Fellow, USC-Brookings Schaeffer Initiative for Health Policy
Nonresident Senior Fellow, USC-Brookings Schaeffer Initiative for Health Policy, Center for Health Policy at Brookings
Nonresident Fellow, USC-Brookings Schaeffer Initiative for Health Policy
Nonresident Senior Fellow at Yale Law School’s Solomon Center for Health Law and Policy
Associate Director, USC Schaeffer Center
Fellow, USC Schaeffer Center
Assistant Professor, Department of Pharmaceutical and Health Economics, USC School of Pharmacy
Research Scientist, USC Schaeffer Center
Emergency physicians recover a higher share of charges from out-of-network care than from in-network care.
Medicare’s experience of paying for outpatient imaging services, particularly expensive advanced imaging such as MRIs, CAT scans, and nuclear scans, has been tumultuous over the last 20 years.
Slightly more than half of those with incomes below 400% of the federal poverty level (FPL) were enrolled in nongroup policies that constitute minimum essential coverage.
Monthly spending on outpatient dialysis services for end-stage kidney disease patients was three times higher for patients insured in the individual market compared to patients insured through Medicare.