The Lund Report, Oct. 5, 2015
by Courtney Jay
Washington, D.C. – Many patients receiving care from out-of-network providers or specialists in Oregon face exorbitant charges for medical services, according to a new report from America’s Health Insurance Plans (AHIP). Health plans and patients routinely receive charges from out-of-network providers that range from 176 - 721 percent of the amount paid by Medicare for the same services.
The report presents the most comprehensive analysis to date on out-of-network charges based on FAIR Health’s private health insurance database of more than 18 billion claims. The findings underscore the affordability challenges facing millions of Americans, particularly when patients face "surprise" bills from out-of-network doctors and clinicians.
"Improving access to health care requires us to fundamentally address the barriers to affordability, including the excessive prices charged for medical services," AHIP President and CEO Marilyn Tavenner said. "This latest report demonstrates the serious cost pressures facing consumers who want affordable access to care and the added financial burden caused by soaring out-of-network medical bills."