As of July 1, health insurers and self-insured employers must post on websites just about every price they’ve negotiated with providers for health care services, item by item. About the only thing excluded are the prices paid for prescription drugs, except those administered in hospitals or doctors’ offices.
The federally required data release could affect future prices or even how employers contract for health care. Many will see for the first time how well their insurers are doing compared with others.
The new rules are far broader than those that went into effect last year requiring hospitals to post their negotiated rates for the public to see. Now insurers must post the amounts paid for “every physician in network, every hospital, every surgery center, every nursing facility,” said Jeffrey Leibach, a partner at the consulting firm Guidehouse.
Source: How Much Health Insurers Pay for Almost Everything Is About to Go Public | Kaiser Health News
And every physician and health care provider will know if they got a good deal in terms of the fees they accepted and if not, they will seek a better deal.
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I have a question. Do healthcare providers get to claim a loss when the bill is cut down by insurance companies?
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No because that has been negotiated. However, if you go to a non participating doctor who bills you and you don’t pay, that can be a loss.
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I off wonder if that the non-insured rate is so high. A high starting place to negotiate with the insurance companies and something to write off if their billing goes to collections.
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I like the info on the EOB. My wife’s provider of healthcare services billed $330 without explaining what it was for, just gave the month services where provided. My wife and I both talked with the billing department, telling them, according to Medicare EOB we owed nothing. 1 year later I get a letter from collections, contacted them explained my side, they said they would check into it. I have heard nothing else in over 2 months. I wonder how many older people just pay the bill no questions asked.
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I agree the unintended consequences will be something to see. I figure Medicare will be the best and will stay that way after the dust settles.
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Every EOB I receive tells me what they pay the doctors, etc.
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Can’t wait for the unintended consequences of this regulation. In theory, it will be good to see what actual healthcare costs. But as you stated, as a doctors see that someone else was able to charge more and get paid more may cause them to raise their rates. Also, everybody else will get to see what the rates are charged to the uninsured which is often more than what insurance companies pay.
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Once a person actually incurs a charge they see the payment on their EOB. What are they going to do about it, change doctors and why do they care if the doctor accepts the payment?
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