Outsourcing in health care has become increasingly common as health system
administrators seek to enhance profitability and efficiency while maintaining clinical …

Surprise medical bills received after care delivery in both emergency and non-emergency
situations for out-of-network (OON) or other contractual health plan regulations adds …

BACKGROUND. The federal No Surprises Act (NSA), designed to eliminate surprise
medical billing for out-of-network (OON) care for circumstances beyond patients' control …

Background: Additional billing is commonly and legally practiced in some countries for
patients covered by health insurance. However, knowledge and understanding of the …

Purpose Given the financial hardships of surprise billing for patients, the aim of this study
was to assess the degree to which radiologists effectively participate in commercial …

Surprise billing laws that allow dispute arbitration relying on provider charges may
incentivize out-of-network providers to increase their charges to increase upcoming or future …

Importance The No Surprises Act (NSA), which took effect on January 1, 2022, applies a
qualifying payment amount (QPA) as an out-of-network payment reference point. An …

Numerous states implemented laws to protect emergency patients from surprise out‐of‐
network medical bills. We investigated the effects of the state laws on emergency clinician …

Cap** the prices health care providers can collect for out-of-network services is a
commonly proposed strategy for reducing the in-network prices negotiated by providers and …

Intensive care unit (ICU) care is expensive for patients and providers, and utilization and
spending on ICU resources have increased. The No Surprises Act, passed in 2022 …