Diagnostic radiologist, opinion haver, runner. Health policy, economics, law and finance. Partner, Greensboro Radiology, Duke Radiology '17. Opinions my own.
Dec 8, 2019 • 8 tweets • 2 min read
Thread: "Surprise billing" is something most people have heard about, where a patient goes to a hospital or physician for whatever reason and thinks she is in network with her commercial insurance, and then receives a bill for a physician or a service that is out of network.
2/ The question is, WHY is that provider or service out-of-network? Increasingly, the answer is that insurance companies refuse to negotiate to reasonable rates and in good faith with hospitals and physicians, and reduce or narrow the scope of covered services in policies.
