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Friday, February 15, 2008

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Buzzword: Out-of-network

Finance

Life is hard enough without having to decipher everything. This week, make your list of doctors and check it twice or else you might end up "out-of-network."

Finance (iStockPhoto)

Insurers on the outs bring us this week's Marketplace Money buzzword: "Out-of-network."

Most folks with health coverage know the drill: visit a doctor who isn't contracted to your insurance company, you'll pay extra.

But New York attorney general Andrew Cuomo says for the past decade, some insurers charged too much for out-of-network visits.

How? By purposely underestimating doctors' "reasonable and customary charges" for those visits, leaving patients to pay more of the bill. Cuomo says it's a "industry-wide scheme to deceive and defraud customers."

His next step? To level reasonable and customary legal charges.

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  • Helena Polka Brian Marshall & the Tex-Slavik Playboys Buy
  • You Can't Go Home Again DJ Shadow Buy

Marketplace Confessional

I am not buying the whole "there might not even be a recession, and if there is one, it will be brief." If oil prices continue to rise, driving inflation, the Federal Reserve will eventually be forced to raise interest rates in the middle of a slowdown. We are already seeing signs of a Japan style "liquidity trap" which is preventing the free flow of money from the banks to Main Street. I think the government's efforts to bail out the housing market will be about as effective as the response to Hurricane Katrina...

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