hotspot -WSS

hotspot

author：focus 2025-09-28 00:50:53 - browse：3

A yellow air ambulance in the sky. -- health business coverage from STAT — Ed Uthman

After Congress officially outlawed surprise medical bills last year, there’s been endless, litigious debate as to how health insurance companies and providers should settle their differences over how much to pay for out-of-network medical bills. Now, an air ambulance provider that already went through the arbitration process is suing Blue Cross Blue Shield of Arizona, which the company says won’t pay the agreed-upon amounts.

The idea behind the arbitration process is to protect patients from getting slapped with massive bills when providers and insurers can’t agree on how much a given health care service is worth. Instead of billing patients for the difference, the government established an independent dispute resolution process in which a third party picks between the provider’s and the payer’s offers for a claim.

This case is one of the first where the provider isn’t disputing the arbitration process itself, or the amount chosen. Instead, the air ambulance company, PHI Health, says BCBS of Arizona has failed to pay up after arbitration — even in cases where the arbitrator chose the amount the insurance company proposed.

Get unlimited access to award-winning journalism and exclusive events.

Subscribe Log In

Previous article： New Eli Lilly Alzheimer’s data poses Medicare coverage conundrum
Next article： Biotech investment managers search for lucrative opportunities

WSS

House transparency, PBM reform bill gains bipartisan support

Surgeons perform first xenotransplant using CRISPR'd pig kidney

CRISPR technology availability, affordability needs to be expanded

Readout Newsletter: Illumina, CRISPR, Regeneron

Yancopoulos of Regeneron works to expand Dupixent success

Illumina names Agilent executive as new CEO

entertainment

hotspot

hotspot

New Eli Lilly Alzheimer’s data poses Medicare coverage conundrum

What American doctors can learn from their Israeli counterparts

23andMe had bad news about my health. I wish a person had delivered it

Snackable artificial intelligence, expert AI, and the pharma industry

Jerome Adams on the need for new antivirals for Covid

Pregnancy ages women, but effects reverse after delivery

How one medical school became remarkably diverse

The 10 drugs up first for Medicare price negotiation

Psychedelics group wrestles with new pharma identity

The (many) problems with a new study criticizing cancer screening

focus

How to protect patients from sexual assault

Chinese researcher claims birth of first gene

Crinetics acromegaly drug succeeds in late

A rare thyroid diagnosis led to unexpected, all

A new House health package & hospitals’ new site

Medicaid rebukes states for mistakenly disenrolling children

leisure time

focus

knowledge

entertainment