Roughly one in every six times someone is taken to an emergency room or checks in to the hospital, the treatment is followed by a 'surprise' medical bill, according to new study.
Roughly one in every six times someone is taken to an emergency room or checks in to the hospital, the treatment is followed by a"surprise" medical bill, according to a study released Thursday. And depending on where you live, the odds can be much higher.
Researcher Karen Pollitz of the Kaiser Foundation said the reasons for such wide differences are not entirely clear, but seem to be related to the breadth of hospital and doctor networks in each state, and the ways those networks are designed. That illustrates the need for Congress to get involved, said Pollitz, since large-employer plans are regulated by federal law and surprise billing protections already enacted by states like New York do not apply to them."This is a prominent problem affecting patients, and it is beyond the reach of state laws to fix, and it is by definition beyond the ability of patients to fix on their own," she said.
Surprise bills can come about in different ways. In an emergency, a patient can wind up at a hospital that's not in their insurer's network. Even at an in-network hospital, emergency physicians or anesthesiologists may not have a contract with the patient's insurer. For a scheduled surgery at an in-network hospital, not all the doctors may be in the patients' plan.
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