4 ms·

This article is completely at odds with Time's article [1] from a few days ago, that showed that out of pocket payers must pay the hospital's chargemaster price

• HeyLaughingBoy 14y ago
  I think what's happening is that more physicians are getting sick (pun intended!) of dealing with insurance providers so while that Time article is correct, so is this one. I have only once come across a physician that didn't take any kind of insurance, but know from other anecdotes that it is becoming more prevalent. I also had an experience recently where I went to a specialty provider that didn't accept my insurance, so it was handled as out-of-network. However, they billed me only what I would have paid had it been an in-network provider, which was considerably less.
  • kps 14y ago
    Physicians in private practice can pay half of their gross billing in insurance collection costs, including denied claims (which patients are nominally responsible for, but often don't/can't pay) and hiring experts to deal with the deliberately complex and ever-changing paperwork that insurance companies use to induce excuses to deny claims. That's before all other costs, including staff with an actual non-bureaucratic purpose, office space, malpractice insurance, etc.