Physicians collect 20% more from out-of-network emergency care than in-network

Physicians recover a higher share of charges for out-of-network care they provide to emergency patients than in-network care, according to research published April 5 in Health Affairs.

Advertisement

The study examined data from the Medical Expenditure Panel Survey to determine how much privately insured emergency patients paid when they received a bill for out-of-network care and how much physicians received.

The researchers found that physicians collected 65 percent of the amount paid for out-of-network bills, compared to 52 percent for in-network bills, a 20 percent increase.

On average, patients who received an out-of-network bill for emergency care paid physicians more than 10 times the amount other emergency patients paid.

More articles on healthcare finance:
Despite tax breaks, nonprofit hospitals not matching charity care of for-profit counterparts
One Medical accidentally billed some patients at Washington, DC, mass vaccination site
Hospital adjusted expenses per inpatient day across 50 states

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.