Reasonable value of noncontracted emergency services: 3 health plan myths.
The market sets the "reasonable value" of noncontracted emergency services. In the market for hospital services, payers obtain a discount from full charges only when they purchase one by offering volume or other economic value in a contract.
Fedor
Frank P
FP
Murphy Austin Adams Schoenfeld, LLP, Sacramento, Calif, USA. ffedor@murphyaustin.com
D004636:Emergency Service, Hospital / Q000191:economics*; D008329:Managed Care Programs; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence*; D014342:Truth Disclosure; D014481:United States