LEGISLATION TARGETS $1 BILLION SURPRISE MEDICAL BILL PROBLEM

Posted on by Mary Pat Gallagher

Surprise medical bills for out-of-network health care cost New Jersey residents nearly $1 billion per year, according to a report released last June by New Jersey Policy Perspective.

An estimated 168,000 people in the state receive out-of-network (OON) bills totaling $420 million per year but the actual cost is much higher because OON charges drive up the cost of the health insurance premiums paid by roughly 5 million New Jerseyans, for an estimated total cost of $956 million.

Continue reading LEGISLATION TARGETS $1 BILLION SURPRISE MEDICAL BILL PROBLEM

Surprise Medical Bills: What they are and how to stop them

Posted on by Myles Zhang

New Jersey’s leading consumer health coalition held a press conference today announcing the release of a new report, Surprise Medical Bills: what they are and how to stop them . The report examines the consequences and costs of these bills on New Jersey health care consumers and details the remedies necessary to fix the problem. and contains more than a dozen testimonials from consumers who have fallen victim to these out-of-network bills.

Continue reading Surprise Medical Bills: What they are and how to stop them

As investors buy struggling hospitals, big change comes to New Jersey health care

Posted on by Myles Zhang

Re-post from NorthJersey.com | Written by Lindy Washburn

Bayonne Medical Center wasn’t just bragging about efficiency when it posted a big digital clock on a highway billboard a few years ago to show the real-time waits in its emergency room. It wanted patients to come to its ER. Lots of patients.

It didn’t matter if the hospital was in the patient’s insurance network. On the contrary, to the businessmen who had recently purchased the medical center, those “out-of-network” patients held the key to reversing Bayonne’s fortunes.

These owners, who bought the hospital in bankruptcy, had found an unintended — and very profitable — consequence to a state regulation that was designed to protect patients with urgent medical needs. While the regulation required insurance companies to pay for emergency treatment at hospitals where their coverage wasn’t normally accepted, it did nothing to control the size of the bills the hospitals could submit to those insurers.

Read rest of article here and how this topic relates to NJ Appleseed’s work.