Envision Healthcare Corp., the parent company of EmCare which is notorious for exorbitant surprise medical bills, is now facing a class-action lawsuit from several Texas patients who were on the receiving end of unfair and excessive out-of-network charges. The lawsuit, highlighted in theNashville Business Journal, is not the first for Envision. "In 2017, thecompany settled a case with the Department of Justice involving EmCare, which was accused of overcharging for emergency room visits at hospitals affiliated with Health Management Associates. Envision settled that case for $31 million." Highlights from the article are included below:
When Patients Are At Their Most Vulnerable, Private Equity Firms See “Opportunity to Reap Above-Market Returns”
In an op-ed for The Hill, co-director of the Center for Economic and Policy Research Eileen Appelbaum highlights the explosion of private equity-backed provider firms that see profit opportunities when patients are at their most vulnerable.
"Private equity has shaped how these companies do business," Appelbaum noted. "In the health-care settings where they operate, market forces do not constrain the raw pursuit of profit. People desperate for care are in no position to reject over-priced medical services or shop for in-network doctors."
Not surprisingly, out-of-network providers are pushing for arbitration and other reforms that would allow them to continue to demand exorbitant...
Sen. Alexander: Senate Solution to Surprise Medical Bills ‘Best Way Forward’ to Protect Patients, Empower Local Markets
In an op-ed for the National Review, Senate HELP Committee Chairman Lamar Alexander makes the case for why Congress needs to step in to correct the market failure that contributes to surprise medical billing – one of the “most visible health-care problems for the 200 million Americans who have insurance through their jobs or on the individual market.”
Solving the issue of surprise medical bills must address the root of the problem – the exorbitant bill from out-of-network providers who choose to demand a blank check from patients. By implementing a fair benchmark standard that was central to the Senate HELP...
The growing presence of private equity-backed provider and specialty medical groups is becoming an all too common influence in the health system – and one of the leading drivers behind egregious surprise medical bills that bankrupt families across the country.
EmCare, a subsidiary of Envision Healthcare which was taken over by KKR for $10 billion in 2018, has an established track record for balance billing patients after visits to the emergency room. Check out the highlights from the New York Times’s story included below:
- “Early last year, executives at a small hospital an hour north of...
Inclusion of Arbitration Provision in Energy & Commerce Legislation Would Be A Hand-Out to Private Equity At Patients’ Expense
WASHINGTON, D.C. – The Coalition Against Surprise Medical Billing, whose members include leading organizations representing employers, health insurance providers and health organizations, strongly opposes the inclusion of a fatally flawed arbitration provision as part of the Energy & Commerce Committee’s mark-up of surprise billing legislation. The Coalition’s full statement is included below:
“The last-ditch effort to impose a costly, bureaucratic and ill-designed arbitration provision on millions of Americans strikes at the core problem of surprise medical billing – it’s a...
Following today's analysis from the Congressional Budget Office (CBO) on cost-savings for patients as part of the benchmark provision in the Lower Health Care Costs Act, the Coalition Against Surprise Medical Billing issued the following statement:
“Today’s CBO score shows that a payment benchmark for out-of-network services is the obvious and best approach for millions of families that have faced bankrupting surprise medical bills. The latest CBO analysis finds that the benchmark proposal will lower overall costs for consumers and put an end to unconscionable price-gouging by certain medical providers, and increasingly, Wall Street-backed private equity groups that exploit patients at their most vulnerable."
"By establishing a payment...