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Reducing Unfair Out-of-Network Billing — Integrated Approaches to Protecting Patients

List of authors.
  • Mark A. Hall, J.D.,
  • Loren Adler, B.A.,
  • Paul B. Ginsburg, Ph.D.,
  • and Erin Trish, Ph.D.

High charges for out-of-network care are demonstrably unfair when health plans have inadequate networks and when patients are treated by providers they don’t choose. An integrated approach for addressing both circumstances could involve streamlined dispute resolution.

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Funding and Disclosures

Disclosure forms provided by the authors are available at NEJM.org.

This article was published on January 16, 2019, at NEJM.org.

Author Affiliations

From the Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC (M.A.H.); the USC-Brookings Schaeffer Initiative for Health Policy, Washington, DC (M.A.H., L.A., P.B.G., E.T.); and the Sol Price School of Public Policy (P.B.G.) and School of Pharmacy (E.T.), University of Southern California, Los Angeles.

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