Category: surprise bills

KHN’s ‘What the Health?’: The Health Agenda Still on Hold

Negotiations continue on Capitol Hill over President Joe Biden’s health agenda — along with a long list of other items. With Republicans on the sidelines, liberal Democrats delayed a House vote on a Senate-passed infrastructure bill to extract moderates’ support for a social-spending bill that includes expansions of benefits for Medicare, Medicaid and the Affordable Care Act. Meanwhile, the Biden administration’s new rules to prevent “surprise” medical bills pleases some health stakeholders and angers others. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Kimberly Leonard of Insider join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Anna Flagg of the Marshall Project about how a century-old report on medical education contributed to racial inequities that persist today.

At Urgent Care, He Got 5 Stitches and a Big Surprise: A Plastic Surgeon’s Bill for $1,040

The Biden administration is weighing how to treat urgent care clinics as part of broad regulations banning surprise, out-of-network medical bills. At the heart of the matter: What counts as an emergency?

KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID

The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.

Surprise! Congress Takes Steps to Curb Unexpected Medical Bills

A long-debated measure to stop doctors, hospitals and other health care providers from billing patients for charges not covered by their insurance will gain congressional approval as part of the sweeping government spending package.

KHN’s ‘What the Health?’: All I Want for Christmas Is a COVID Relief Bill

Congress seems on the verge of finishing a long-delayed COVID-19 relief bill, which will reportedly include neither of the things each party wanted most — for Republicans, liability protections; for Democrats, funding for states and localities. That bill is likely to be tied to a package to fund the federal government for the rest of the fiscal year and, possibly, include a fix for “surprise” medical bills that patients receive when they inadvertently receive care outside their insurance network. Alice Miranda Ollstein of Politico, Rebecca Adams of CQ Roll Call and Mary Agnes Carey of KHN join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner talks to Elizabeth Mitchell, president and CEO of the Pacific Business Group on Health, about the future of employer-provided health insurance.

With No Legal Guardrails for Patients, Ambulances Drive Surprise Medical Billing

Studies show that at least half of ground ambulance rides across the nation leave patients with “surprise” medical bills. And a $300-a-mile ride is not unusual. Yet federal legislation to stem what’s known as balance billing has largely ignored ambulance costs.

‘An Arm and a Leg’: How to Fight Bogus Medical Bills Like a Bulldog

When a colleague brings a medical billing problem to human resources director Steve Benasso — he goes to battle. “I am a bulldog on this stuff,” he said. In this episode, Benasso tells how he does it.

Ever Heard of a Surgical Assistant? Meet a New Boost to Your Medical Bills

A college student’s bill for outpatient knee surgery is a whopper — $96K — but the most mysterious part is a $1,167 charge from a health care provider she didn’t even know was in the operating room.

COVID Catch-22: They Got A Big ER Bill Because Hospitals Couldn’t Test For Virus

Americans who had coronavirus symptoms in March and April are getting big hospital bills — because they were not sick enough to get then-scarce COVID tests. Some insurers say they are trying to correct these bills, but patients may have to put up a fight.

Ghost Bill: UVA Siphons Couple’s Tax Refund To Pay 20-Year-Old Medical Debt

Jane Collins and Anthony Blow were stunned to learn last fall that their state tax refund was being reduced by $110 because the Charlottesville medical center said they owed money for care their son received in 2001 and 2002.