Health iPASS Insights

Rhode Island Latest State to Enact Healthcare Price Transparency Legislation

Posted by Rajesh Voddiraju on Jun 11, 2018 12:53:25 PM

The idea seemed simple. Create a medical insurance group and establish a network of care rendered by  doctors and other professionals who have agreed by contract to treat patients in accordance with the medical insurance group's guidelines and fee schedules. Stay inside the network and associated medical fees are covered. Go outside the network and risk facing pricey medical bills that the insurance company won't cover.  Simple in concept yes, but as managed care evolved in the U.S. and cost containment initiatives became more complicated to administer, many doctors and providers began to drop from managed care networks in favor of more lucrative payer models, but this created even more reimbursement complexities and confusion. 

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Topics: Revenue Cycle Management, Patient Satisfaction, Patient Payments, price transparency, out of network