Doctors and hospitals can’t balance bill, but the Department of Managed Care doesn’t have the authority yet to enforce? This brings about a very good question of who will enforce this. Is this a provision with no teeth? Obviously this is good for patients as you come out with a bill...
Posted to
The Medical Quack .... by Barbara Duck
on 12-06-2008
Filed under: Medically Related, Insurance, Hospital, Physician, healthcare, health insurance, CMA, California, Balance Billing, Department of Managed Care
This ruling puts emergency physicians in a hard spot, but protects consumers. This goes back to the Prime/Kaiser scenario and more can be found under the related reading section here. There is a separate case pending with the California Supreme Court, so the matter is not closed yet by any means...
Posted to
The Medical Quack .... by Barbara Duck
on 11-23-2008
Filed under: Medically Related, Insurance, Hospital, health insurance, Health Care, Kaiser Permanente, Blue Cross, Balance Billing, Prime Healthcare, Venture Capital, Californa Medical Association, Insurance Reserves, Out of network care
In California we are well aware of this with the recent news with Prime Health Care being challenged on this practice as they have no contracts with the insurers and charge their published rates for out of network care, and the patient is stuck in the middle, but from the other side of the coin, some...
Posted to
The Medical Quack .... by Barbara Duck
on 08-29-2008
Filed under: Medically Related, Insurance, My Commentaries, Hospital, health insurance, Physicians, Quest Labs, bankruptcy, Balance Billing, Health Insurance Coverage, Not for Profit Hospitals, Prime Healthcare