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About 25% of U.S. healthcare costs relate to administrative costs (e.g., billing and payment, as opposed to direct provision of services, supplies and medicine) versus 10-15% in other countries. For example, Duke University Hospital had 900 hospital beds but 1,300 billing clerks during 2013.
Acts such as EMTALA ensure that every person coming into the emergency room must be treated regardless of insurance, with the patient left with the responsibility of paying the bill. The gap of not qualifying for insurance, as well as not being able to apply for insurance, leave these people in medical indigence.
Uninsured Americans ages 65 and older owed about 20% more in unpaid medical bills than those who are insured, according to a recent study by the Consumer Financial Protection Bureau.
A 2011 study found that there were 2.1 million hospital stays for uninsured patients, accounting for 4.4% ($17.1 billion) of total aggregate inpatient hospital costs in the United States. [13] The costs of treating the uninsured must often be absorbed by providers as charity care , passed on to the insured via cost-shifting and higher health ...
Oklahoma state lawmakers are considering a bill that'd make it illegal to defraud charities. ... These alternative funding programs drain resources away from patients who are actually uninsured ...
A study found that in 2009, uninsured patients presenting in U.S. emergency departments were less likely to be admitted for inpatient care than those with Medicare, Medicaid, or private insurance. [69] 60 Minutes reported, "Hospitals charge uninsured patients two, three, four or more times what an insurance company would pay for the same ...
Americans without health insurance pay an average of $98 for Eli Lilly’s generic insulin despite the company’s May 1 pledge to cut its list price to $25 per vial, according to a survey of more ...
Silent PPOs typically do not make referrals, but provide access to the discount after the service was rendered. Additionally, providers argue that, had the patient not entered via a back-door arrangement, they would not have been given the discount applied to the contract. Thus, the provider loses money from the amount that would have been charged.
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