Summary
Insurers and employers end up paying the full retail price for such out-of-network care, says Charles Falcone, president of Devon Health. Based in King of Prussia, Pa., Devon offers PPO services nationwide. "It's driving up the payers' costs and the members' out-of-pocket costs for the out-of-network services." It is also a factor that eventually results in employers' health insurance rates increasing.
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Extract
Attacking the Out-of-Network Cost Problem
One common cost-cutting method is the preferred provider organization, or PPO, which offers discounted rates under contracts with insurance companies and third-party administrators,...
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