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Cracking the Code: How health care bills come down to numbers unrelated to service

Sarah Hirsch was teaching a second-period art class at Manvel High School in November when she felt as if the room was spinning. It was unnerving enough that she went to the school nurse’s office to lie down and soon felt better. But when she stood, the dizziness came back. The cause of Hirsch’s symptom

Surprise Medical Bills: A Problem Not Just for the Unsuspecting but the Wary, Consumers Say

AUSTIN — Texans slammed with health emergencies – as well as those scheduling elective procedures — need more protection from surprise medical bills, consumer groups told lawmakers Wednesday. A Lubbock woman with multiple sclerosis and a consumer advocate said that even the most conscientious patients are subject to “balance billing,” which happens when health insurers

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March 26, 2019

Surprise medical bills sending consumers into shock — here’s how to avoid getting hit

57 percent of Americans have been hit with a bill not covered by their insurance. Seeing out-of-network medical professionals is the leading cause of surprise bills. The problem is so bad that Congress may actually take bipartisan action to fix it. Meantime, you can take several steps to avoid a
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March 26, 2019

Free-standing ED prices substantially higher than other care settings

Consumers are more into convenient options when it comes to just about any industry, but in healthcare, the preference has led to national growth in freestanding emergency departments (FSEDs). In 2016, there were 566 FSEDs in the U.S.––42 percent more than in 2015 and 155 percent more than in 2008, according
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March 26, 2019

Editorial: End the scandal of surprise medical bills

Outrage can be a powerful motivator. Tale after tale of people hamstrung by astronomical medical bills they didn’t see coming have put lawmakers from both parties on a joint mission to repair the problem. In the U.S., the phenomenon of surprise medical bills isn’t new, but it’s been getting some
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March 26, 2019

Herrick: Lawmakers should put end to surprise medical bills

Surprise medical bills are a growing problem in Texas. Requests to the Texas Department of Insurance (TDI) to mediate disputes over surprise out-of-network bills between providers, insurers and consumers increased more than 100-fold during the past five years – growing to 4,519 in 2018. TDI has the power to mediate
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March 26, 2019

How To End The Scourge Of Surprise Medical Bills In The Emergency Room

Opponents of the role of consumers and markets in health care have one go-to argument above all others: that you can’t shop for health care when you’re unconscious. The rising problem of gargantuan, surprise medical bills in surgical wards and emergency rooms shows that they have a point. The good
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