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Lack of transparency and Surprise Billing

Lack of transparency and Surprise Billing

There have been numerous efforts to increase the transparency of healthcare “costs”, however most of the “cost” numbers shared publicly are based on what the health plans (insurance companies also known insurance carriers) negotiate with the health systems.

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Affordability

The current transparency efforts are focused on the math that that explains the cost shares between what the insurance company pays and what the member (subscriber) of the plan pays. The efforts are lacking in pursuing the transparency of the “Billed Charges” and how they are assessed.

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