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New AMA Study: Patients Responsible for Nearly One-quarter of the Medical Bill

June 19, 2013 Comments off

New AMA Study: Patients Responsible for Nearly One-quarter of the Medical Bill
Source: American Medical Association

Patients are responsible for nearly one-quarter of the medical bill, according to the findings released today from the AMA’s sixth annual check-up of health insurers and their patterns for processing and paying medical claims.

For the first time, the AMA’s National Health Insurer Report Card examined the portion of health care expenses that patients are responsible for through copays, deductibles and coinsurance.

During Feb. and March of this year, patients paid an average 23.6 percent of the amount that health insurers set for paying physicians.

“Physicians want to provide patients with their individual out-of-pocket costs, but must work through a maze of complex insurer rules to find useful information,” said AMA Board Member Barbara L. McAneny, M.D. “The AMA is calling on insurers to provide physicians with better tools that can automatically determine a patient’s payment responsibility prior to treatment.”

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2010 National Health Insurer Report Card (Commercial Payers)

February 24, 2011 Comments off

2010 National Health Insurer Report Card (Commercial Payers) (PDF)
Source: American Medical Association

The American Medical Association’s (AMA) National Health Insurer Report Card (NHIRC) provides physicians and the general public a reliable and defensible source of critical metrics concerning the timeliness, transparency and accuracy of claims processing by health insurance companies. Billions of dollars in administrative waste would be eliminated each year if third-party payers sent a timely, accurent and specific response to each physician claim.

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