"Payers relying on older OON reimbursement methodologies are likely overpaying, considering the persistent increases in billed charge trends, while those that have adopted a much more aggressive strategy may face backlash from members or providers seeking legal action as well as unfavorable media attention. To avoid these unfavorable outcomes, it is important to evaluate the methodology used for setting OON reimbursement levels and to identify savings opportunities."  MORE >>