hotspot -WSS

hotspot

author：entertainment 2025-09-30 14:57:56 - browse：59454

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： Walensky prepares to leave CDC — and Congress — behind
Next article： Chronically ill young patients struggle to find fertility info

hotspot

WSS

Burning questions for the 2024 JPM Healthcare Conference

Weight loss drug costs may need more research, senator suggests

GSK Flovent asthma inhalers replaced by authorized generics

Feng Zhang, Grail founder join forces on new gene editing startup

CRISPR pioneers react to Casgevy, first gene

Burning questions for the 2024 JPM Healthcare Conference

focus

hotspot

hotspot

Drug repurposing or repositioning? The language matters

Ransomware attacks on hospitals: Study outlines patient impact

Indiana Supreme Court upholds abortion ban, says state constitution gives only limited protections

CRISPR pioneers react to Casgevy, first gene

Affirmative action in medical school literally saved lives

Burning questions for the 2024 JPM Healthcare Conference

Medical leaders decry Supreme Court decision on affirmative action

Congress must reauthorize a committee to support older Americans

Peter Hotez and the public health issue of online harassment

New weight loss drugs work. But how can they best be used?

focus

Readout Newsletter: Allogene's pivot, Illumina exec to lead Delfi

Buoyed by wins on obesity, Novo Nordisk eyes heart disease

In key trial, Verve's treatment lowers cholesterol levels in patients

A daunting task: navigating dual Medicare, Medicaid eligibility

Astellas still sees hope in its gene therapy after four deaths

Surge of respiratory disease in China has likely explanation

hotspot

hotspot

knowledge

focus