Overview: Healthcare Portability In The Health Care Industry
In many cases, the rates are below cost. Facilities often times resort to cost shifting to make up the losses. This leads to inflated charges and self-pay patients are often the hardest hit. Many facilities do not accept Medicaid for this reason. Private payers still have predetermined rates, but because of competition in the insurance market, they do not follow government practice of pricing below cost. However, they can have similarly strict compliance requirements, including technical prerequisites like claim procedures.