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- Kelly A Kyanko and Susan H Busch.
- Department of Population Health, NYU School of Medicine, 550 First Ave., VZ30 6th floor, 646, New York, NY 10016, USA. kyanko.kelly@gmail.com
- Inquiry J Health Car. 2013 Mar 8; 49 (4): 352-61.
AbstractHealth insurance plans that include coverage for out-of-network providers are common and have the potential to reduce health care costs and even improve quality. Yet, consumers may be exposed to significant unexpected and unreasonable out-of-pocket costs due to lack of accurate information on network participation, nontransparent out-of-pocket costs, inadequate provider networks, involuntary use of out-of-network emergency care, and use of out-of-network providers at in-network hospitals. Although the Affordable Care Act and some states provide some consumer protections, these may not be adequate.
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