{"id":1463,"date":"2015-12-22T12:28:08","date_gmt":"2015-12-22T17:28:08","guid":{"rendered":"https:\/\/medicarereport.org\/?p=1463"},"modified":"2015-12-22T12:30:03","modified_gmt":"2015-12-22T17:30:03","slug":"er-doctors-say-federal-rules-could-raise-patients-out-of-network-bills","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=1463","title":{"rendered":"ER Doctors Say Federal Rules Could Raise Patients\u2019 Out-Of-Network Bills"},"content":{"rendered":"<p>(By &#8211; Michelle Andrews, Kaiser Health News)<\/p>\n<p>Two professional organizations representing emergency doctors warn that a new federal rule\u00a0could lead to higher out-of-pocket costs for consumers when they need emergency care outside their health plan\u2019s network of providers. But consumer advocates and health policy experts say the groups\u2019\u00a0proposed solution <a href=\"http:\/\/newsroom.acep.org\/2015-12-01-Health-Plans-Not-Required-To-Pay-Fairly-for-Emergency-Care-Under-New-Regulation\" target=\"_blank\">doesn\u2019t adequately protect consumers.<\/a><\/p>\n<p><a href=\"http:\/\/www.hhs.gov\/healthcare\/about-the-law\/er-access-and-doctor-choice\/index.html#\" target=\"_blank\">Under the health law<\/a>,\u00a0plans can\u2019t generally charge consumers higher copayments or coinsurance when they visit an emergency department that\u2019s not in their network. So if the plan charges a flat copayment of $500, for example, or coinsurance totaling 30 percent of the cost of services for an emergency department visit at an in-network hospital, it can\u2019t charge consumers more than that rate if they get emergency services at an out-of-network facility. The only plans that are exempt from this provision are those that\u00a0have grandfathered status under the health law. <a href=\"http:\/\/khn.org\/news\/er-doctors-say-federal-rules-could-raise-patients-out-of-network-bills\/?utm_campaign=KHN%3A+First+Edition&amp;utm_source=hs_email&amp;utm_medium=email&amp;utm_content=24804869&amp;_hsenc=p2ANqtz-8A3a9ocD4Cd1dwP6BWmz-8jeb-IJ-Fggr8Wn5MNx7wqFoljlXEe-KRNQ618V-aBlSaeQhXpfzm2CAawCW6jRMrBNRMOw&amp;_hsmi=24804869\" target=\"_blank\">Read more&#8230;<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Kaiser Health News\u00a0is\u00a0a nonprofit national health policy news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.<\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-899 \" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-300x156.png\" alt=\"khn-logo1\" width=\"92\" height=\"48\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-300x156.png 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-1024x533.png 1024w, https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-390x205.png 390w, https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1.png 1600w\" sizes=\"auto, (max-width: 92px) 100vw, 92px\" \/><\/a><\/p>\n<pre><strong>Notice<\/strong>: The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/pre>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By &#8211; Michelle Andrews, Kaiser Health News) Two professional organizations representing emergency doctors warn that a new federal rule\u00a0could lead<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1463","post","type-post","status-publish","format-standard","hentry","category-medicare-general"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/1463","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1463"}],"version-history":[{"count":2,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/1463\/revisions"}],"predecessor-version":[{"id":1465,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/1463\/revisions\/1465"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1463"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1463"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}