Many Americans who get a recommended colon cancer screening may end up with 'surprise' medical bills, a new study suggests. Learn more:
claims for more than 1.1 million elective colonoscopies, researchers found that 12% involved out-of-network charges.
Often, surprise bills are related to elective surgery -- a situation in which patients pick their surgeon and hospital but have no choice about other providers involved in their care. Those providers, such as assistant surgeons, anesthesiologists and radiologists, may be out-of-network, the researchers explained.colon cancer"We want to bring attention to this," said lead researcher Dr. James Scheiman, chief of gastroenterology at University of Virginia Health in Charlottesville.
Overall, anesthesiologists and pathologists accounted for most out-of-network charges, the investigators found. "In my eyes, this is because of a market failure," Adler said. A primary care doctor or surgeon, for instance, has a big incentive to join health plan networks -- to attract patients covered by those plans.
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