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He signed an executive order for transparency on medical bills? (Original Post) LiberalFighter Feb 2020 OP
It isn't. MontanaMama Feb 2020 #1
Can't have privacy, after all. elleng Feb 2020 #2
It's about requiring hospitals and insurers tell you up front about what they charge and pay for 4139 Feb 2020 #3
Do you get the point? LiberalFighter Feb 2020 #4
The exec order was followed by Regs by HHS which do have force of law... 4139 Feb 2020 #6
Except the first doesn't go into effect until 2021 and only for a limited number. LiberalFighter Feb 2020 #7
The problem is that each and every insurance company PoindexterOglethorpe Feb 2020 #5

elleng

(130,126 posts)
2. Can't have privacy, after all.
Tue Feb 4, 2020, 10:46 PM
Feb 2020

The HIPAA Privacy Rule establishes national standards to protect individuals' medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.
www.hhs.gov › hipaa › for-professionals › privacy
HIPAA Privacy Rule - HHS.gov

4139

(1,893 posts)
3. It's about requiring hospitals and insurers tell you up front about what they charge and pay for
Tue Feb 4, 2020, 11:02 PM
Feb 2020

... it about ‘surprise bills’ that people receive

LiberalFighter

(50,477 posts)
7. Except the first doesn't go into effect until 2021 and only for a limited number.
Tue Feb 4, 2020, 11:27 PM
Feb 2020

The second has not been.

PoindexterOglethorpe

(25,746 posts)
5. The problem is that each and every insurance company
Tue Feb 4, 2020, 11:15 PM
Feb 2020

negotiates separate deals with doctors and hospitals. Often different deals for different plans. There simply is no set price for almost any treatment or procedure, and that's the real problem.

I used to do outpatient registration at my local hospital -- meaning I registered patients showing up at the hospital for things like x-rays, or blood work. Occasionally I'd registered someone with some kind of insurance and with a $10,000 deductible. What I learned was that the person had the insurance so they'd get billed at a favorable rate, rather than the sky-high one charged someone with no coverage at all. That is actually the kind of policy that was forbidden under the ACA, because a lot of people who got one simply had no idea how much they'd be on the hook for. The few people I dealt with who had those policies, did understand exactly, but they could afford to pay out of pocket for whatever.

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