Network squeeze: Controversies continue over narrow health plans

My Patient Rights | Stay Informed | Network squeeze: Controversies continue over narrow health plans

Network squeeze: Controversies continue over narrow health plans

an image of an older man speaking with his doctorLos Angeles colorectal surgeon Dr. Allen Kamrava regularly faces financial challenges related to narrow-network health plans.

He recently performed a gastrointestinal procedure on a patient at a local hospital. Both he and the hospital were in-network providers for the patient’s plan. But unbeknownst to him and the patient, the anesthesiologists and pathologists involved in the procedure were not. So the patient ended up on the hook for $3,000 for those out-of-network provider services. Had the patient gone to a nearby out-of-network outpatient surgery center and paid for the entire procedure out of pocket, the total bill would have been less than $1,000.

Read the full article on modern healthcare.com

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