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Publisher s Note: This post appears here courtesy of the Carolina Journal. The author of this post is Donna King.
A measure that would require a healthcare facility to notify patients of any out-of-network care they receive is moving through the Senate. Senate Bill 505, comes amid patient complaints that an out-of-network provider would participate in their care, often without seeing the patient, resulting in a hefty surprise bill weeks later.
The Senate Health Care Committee approved Medical Billing Transparency which would require that patients be notified 72 hours beforehand of who is participating in their case and an estimated cost of services. In the case of an emergency, it requires notification as soon as possible.
High hospital prices are a leading driver of high and rising costs in the U.S. health care system, resulting in insurance premium growth that outpaces the growth in wages and inflation. In particular, the cost of hospital care accounts for one-third of all U.S. health care expenditures. On average, hospitals command prices in the commercial market that are more than twice as high as Medicare, with some hospitals charging three or four times as much. High hospital prices have been fueled by a number of factors, including increasing market consolidation and “must-have” hospitals flexing their market power to negotiate significantly higher prices from commercial insurers.