News: Quick Takes

N.C. treasurer finding new ways to push hospitals toward Clear Pricing Project

State Treasurer Dale Folwel. (CJ file photo)
State Treasurer Dale Folwel. (CJ file photo)

With fiscal forecasts predicting the State Health Plan will go broke in four years, the N.C. treasurer is hatching new tactics to push hospitals into clear pricing. 

State Treasurer Dale Folwell has been fighting hospital systems for months. He planned to save the State Health Plan by tethering payments to Medicare rates with his Clear Pricing Project. Deadlines passed, and though he upped reimbursement rates, North Carolina’s eight major hospital systems refused to sign on. 

When he relented to the hospitals in August, Folwell promised to “go around” their boycott. He now plans to target the hospitals by cracking down on surprise billing and by investigating his legal options with hospitals. 

He said his department is searching the country for legal cases where hospitals admitted wrongdoing. He implied he was interested in the nonprofit status of hospitals.

“There are legal things that we are looking at,” Folwell said Tuesday, Oct. 1, in his monthly “Ask Me Anything” teleconference. “Any time that there are cartel-like activities going on in any industry for the last 200 years in this country, that’s something that legal system needs to look at. And we’re doing just that.”

Less drastic but more immediate measures include efforts to quash surprise medical billing. 

The treasurer plans to ensure patients don’t receive surprise medical bills by expanding bundling, which would offer insurers a flat rate for major procedures. The move would save the state money, said John Locke Foundation Health Policy Analyst Jordan Roberts

“It’s like mini referenced-based pricing, saying that they will not nickel-and-dime him for a bunch of different steps in a procedure.” 

Blue Cross N.C. estimates surprise medical billing costs $14 million a year in higher premiums for its members alone. 

“The hidden cost of surprise bills is that because providers know they will get reimbursed for out-of-network payments, there is a lack of incentive for providers to go in-network and be beholden to the negotiated rates,” said Michael Kraskin, executive director of N.C. Coalition of Fiscal Health. “If they walk away and charge out-of-network rates, they will still be reimbursed. So, it gives providers the ability to charge higher rates.”

Folwell also said he will target split billing — the jargon for making sure patients don’t get billed twice for one service.

Folwell said he has seen multiple abuses of split billing, in which patients unwittingly land multiple bills by asking the wrong questions. 

“Many of our members get charged for a separate office visit by asking something in the course of a normal well visit,” Folwell said. “And there is a separate office visit charged to the State Health Plan for that little conversation.”

Of the surprise medical bills dominating the headlines, split billing ranks among the more notorious offenders. 

“A parent anecdotally told me that they had a teenager who played soccer, who had two ingrown toenails. They went in to get it fixed. But it was two toes, two facility fees, two big bills, but it was one visit. It was almost like they had gone into the doctor twice,” Folwell said. “This is happening hundreds, if not thousands, if not tens of thousands, times a year to the State Health Plan.”

In the past, hospitals have retaliated by arguing Folwell’s Clear Pricing Project is outdated. A few hospital systems pushed value-based care as the solution to health care’s rising costs. Value-based aims to reform the incentives of providers by changing the way the state pays for health care. 

Folwell has said he can’t make the change to value-based care until he knows the value of the services. His emphasis on “secret contracts” and “cartels” hasn’t changed. 

“The fact that there is a complete boycott and reluctance to share what people are even paying for health care continues to be completely unacceptable,” Folwell said. “There’s no turning back. This is the last thing in the U.S. economy where people don’t know the value and price of what you’re getting.”



  • R.T.

    This is the third or fourth media article I’ve read or seen and I have to say how awesome it is to see a man in our government who is actually working for the people in our state. May his tenacity continue and may he be around in his job for a long time.

  • Paul Slobodian

    Excellent update…thanks! Here are suggestions for Folwell from Rand:
    Rand Corporation study of actual hospital charges has these recommendations:
    “1. Move away from discounted-charge contracting for hospital services and shift to contracting based on a percent of Medicare or another similar fixed-price arrangement

    2. steer enrollees away from high-priced, low-value hospitals and hospital systems and encourage the use of lower-priced providers

    3. contract directly with a hospital or health system (this is especially relevant to self-insured employers with a high concentration of employees in one location).” contract

    Time to aggressively focus on #2 and #3. Offer Plan patients waived deductibles and reimbursements for travel costs for going to a low cost /high quality hospital.

    Taking these steps will get the attention of the near- monopoly hospital systems.