balance billing

A doctor offers a surgical add-on that leads to a $1,877 bill for a young girl's ear piercing. A patient protests unnecessary scans to identify and treat her breast cysts. A study shows intensive care-level treatment is overused.

ProPublica has been documenting the myriad ways the health system wastes money on unnecessary services, often shifting the costs to consumers. But there are ways patients can protect themselves.

Anthony Sangenito doesn’t remember the 21-mile air ambulance ride he took last summer because he wasn’t conscious. But debt collectors aren’t letting the 46-year-old property manager forget it.

Accident victims with private insurance are getting surprised by sky-high ambulance bills and Florida Insurance Consumer Advocate Sha 'Ron James wants to do something about it.

Because of a new law, Florida patients won’t have to pay for medical care by doctors outside their insurance network if the service was performed at an in-network hospital.

The law effectively bans a practice called “balance billing.” But emergency room doctors say the new law misses the mark.


Scott Signs Key Health Bills, Vetoes Dental Measure

Apr 15, 2016
Office of the Governor

Gov. Rick Scott on Thursday signed a series of health-care bills, including a measure that supporters say will help shield patients from getting hit with surprise tabs after going to hospital emergency rooms.

Health Bills, Tax Cuts, 'Legacy Florida' Go To Scott

Mar 31, 2016
Daylina Miller/Health News Florida / WUSF

Scott received a handful of health-care bills, including a measure (HB 221) that addresses a controversial health-insurance issue known as "balance billing."

Prescribing, Insurance Changes Get Last-Minute Approval

Mar 14, 2016

Florida lawmakers Friday approved measures that would expand the drug-prescribing powers of advanced registered nurse practitioners and address a controversial health-insurance issue known as "balance billing."

Florida House

With the support of doctors and small businesses, the Florida House has unanimously passed a bill that would clear the way for "direct primary care” agreements.

House Ready To Take Up Health Care Agenda

Feb 29, 2016

With Republican leaders pushing for major changes in the health-care system, the House will take up a series of high-profile health issues during a floor session Tuesday.

Governor Rick Scott has raised the profile of balanced billing in the healthcare system and now the Florida legislature is trying to tamp down on it. A Senate bill limiting how and when hospitals can charge patients for out-of-network services is on its way to the chamber floor.

Balance Billing Measure Heads To Senate Floor

Feb 26, 2016
MyFloridaHouse.gov

With supporters saying they are seeking to protect patients from surprise expenses, the Senate Appropriations Committee on Thursday approved a bill that deals with a closely watched health-care issue known as "balance billing."

Recovering from a medical procedure is always a challenge, but getting hit with unexpected insurance fees can add financial hardship to the process.

Senate To Take Up High-Profile Health Issues

Feb 1, 2016

With House Republican leaders pushing for a wide range of regulatory changes in the health-care industry, a Senate committee will wade into some of the key issues this week.

Florida State Rep. Carlos Trujillo is in the middle of some pressing and controversial issues this legislative session.

The South Florida Republican sponsored one bill that would close a health insurance gap and another that would make it illegal for people who have been deported to come back into Florida.

And before session even started, he took heat from the gun lobby for his position on a Stand Your Ground bill.

The only thing Florida lawmakers must get done during the legislative session is pass a balanced budget. But it’s tricky ironing out all the numbers. And  a big part of laying out a budget is determining how much to spend when it comes to healthcare.

Sammy Mack / Health News Florida

A consumer health measure aimed at protecting insured patients from surprise bills was filed Thursday by state Sen. Rene Garcia, R-Hialeah.  

Health care companies struggling to do business in Florida led the most talked-about news of 2015 here at Health News Florida.

  A state official who wants to rescue insured patients from surprise health-care bills has crafted a road map for the Florida Legislature’s upcoming session.

 

Florida legislators have been grappling with the problem of balance billing—also known as “surprise billing”—and now the Center for Medicare and Medicaid Services has proposed a broader rule aimed at fixing the issue.

Editor's note: This story has been updated and contains a correction.

Florida lawmakers should enact more protections for health-insurance consumers and families of workers in small businesses, a state advisory board says.

A recent story on 'surprise bills' by Health News Florida's Carol Gentry hit the nail on the head.

A growing number of insurance plans known as “preferred provider organizations” (PPOs) are leaving far too many patients without the coverage they need for emergency medical services.

Tallahassee Forum To Address 'Balance Billing

Oct 15, 2015

State Insurance Consumer Advocate Sha'Ron James will bring together key groups to discuss a controversial issue in the health-care industry known as "balance billing."