outofnetwork – Health

Out-of-network providers charge significantly more than the commercial price for COVID-19 tests

Out-of-network providers charged significantly more money for both diagnostic and antibody COVID-19 tests, according to a survey from America’s Health Insurance Plans. The survey of AHIP member health plans was performed during July to gather information on prices charged by out-of-network providers for diagnostic and antibody tests for COVID-19. It received 22 responses, totaling 67%… Read More »

Dignity Health loses appeal of Medicaid out-of-network billing case

Dive Brief: L.A. Care, the biggest public Medicaid managed care plan in the country, won an appellate court victory late last week against hospital operator Dignity Health regarding reimbursement for out-of-network patients. The legal dispute centered around L.A. Care patients being admitted through the emergency room at Northridge Hospital Medical Center in Los Angeles, which… Read More »