Billing and Collections
Between 2015 and 2019, spending increased by 21.8%, or $1,074 per person, with prices rising and utilization declining.
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The average estimated allowed amounts rose 76.4%, while the average Medicare reimbursements rose 4.7% from 2017 to 2020.
The American Hospital Association claims the rule is a windfall for insurers, while BCBSA calls it a "win for patients."
The rule includes a payment dispute resolution process for uninsured or self-pay individuals, and outlines requirements for cost estimates.
Between June and August, unvaccinated COVID-19 patients racked up $5.7 billion worth of preventable hospital care.
A federal appeals court rejected the group's latest attempt to get higher reimbursements for the outlier payments they received from 2008 to 2011.
Patients will have the ability to schedule payments on various timelines, either on a monthly basis or in a lump sum.
In June and July, the U.S. health system spent $2.3 billion on unvaccinated individuals who were hospitalized because of COVID-19.
The suit alleged that Mednax racked up more than $50 million in improper payments as a result of unnecessary neonatal testing.