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NASHP Model Act to Limit Out-of-Network Provider Rates

NASHP

This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area.

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What is better: public or private provision of health care?

Healthcare ECONOMIST

Medicare Advantage vs. Medicare FFS), but less so whether the providers are public employees or not. Within any given country, there is significant selection bias in terms of who receives public vs. private care. Moreover, most research focuses on public vs. private financing of health care (e.g.,

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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

In the health care sphere, private equity has tended to find legal ways to bill more for medical services: trimming services that don’t turn a profit, cutting staff, or employing personnel with less training to perform skilled jobs — actions that may put patients at risk, critics say. Petris Center at UC-Berkeley.

Doctors 145
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

In the health care sphere, private equity has tended to find legal ways to bill more for medical services: trimming services that don’t turn a profit, cutting staff, or employing personnel with less training to perform skilled jobs — actions that may put patients at risk, critics say. Petris Center at UC-Berkeley.

Doctors 52