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Report: Uncompensated care costs passed to insured

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When people can't pay their healthcare bill, the money comes out of the pockets of the insured. Such is the conclusion of a new report from consumer advocacy group Families USA, which says insured persons paid a "hidden health tax" for family and individual coverage of $1,017 and $368 respectively last year.

According to the group, the uninsured received $116 billion in care from doctors, hospitals and other providers in 2008, $42.7 billion of which was never paid for. Providers then raised prices to insurers to cover these costs, and insurers, in turn, charged higher premiums, the group says.

The group's message apparently resonates with Senate Finance Committee Chairman Max Baucus (D-MT), who said in a written statement that he would attempt to remove this hidden tax through reform legislation.

To learn more about this issue:
- read this Modern Healthcare piece (reg. req.)

Related Articles:
CO hospitals cite $800M in uncompensated care
PA hospitals' margins up, but uncompensated care rises

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Comments

This practice is called "cost shifting" and it has been around for many years.In my opinion, it accounts for a major percentage of escalating annual insurance premium rate hikes. While there may be 47MM people in the U.S. without health care insurance, the vast majority do not go without health care.

This statement shows the lack of understanding how Healthcare reimbursement works.

“Providers then raised prices to insurers to cover these costs, and insurers, in turn, charged higher premiums, the group says.”

How does raising prices get more money out of the insurer if I am a provider that has a contract with an insurer that says you do this procedure you get paid this fixed amount? It doesn’t. This is not like going to the market for apples. In fact the opposite is true, reimbursement rates are going down. Just look at the biggest insurer of all, Medicare. CMS slashed rates for most providers; it’s true some PCP’s did a bump in rates but that was well deserved.

When was the last time the insurance company actually paid charges to the doctor for any uncompensated care? This excuse has been used by hospitals and insurance lobbies to constantly raise premiums sometimes as much as 10-15 % per year. Someone needs to track each of these statements and use them at an appropriate time.

This is a travesty; in my business I see examples of uninsured persons using emergency departments again and again for very minor, unnecessary ailments. Aside from the unpaid charges, this takes away the time clinical staff should be spending with real emergencies. When I have gone to the ED for a simple UTI, the bill has totaled $1000 paid for by our insurance. My husband recently spent one night in the ED, had a few tests and the bill came to $12,000 again paid for by our health insurance. There is no question the hospitals are overcharging the insured in order to cover the costs of the uninsured!

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