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September 5, 2007

Florida’s no-fault system fosters abuse that drives high auto insurance rates

Ending no-fault will limit the ability of health care providers to overcharge auto accident victims

Tallahassee – Under Florida’s current no-fault system, there are few restrictions on what hospitals can charge auto accident victims for care. Oftentimes the result is excessive and unnecessary charges billed to accident-related care.

“The lack of restrictions on what hospitals can charge is one of the biggest flaws in Florida’s no-fault system and the primary reason why we pay the sixth highest auto insurance rates in the nation,” said Christopher Moya, spokesman for Floridians for Lower Insurance Costs.

Claims by Florida hospitals that they will lose millions in uncompensated care as a result of the elimination of Florida’s no-fault system are misleading and amount to little more than scare tactics being employed by hospitals to preserve a system that allows them to reap excessive profits for treating auto accident victims.

“It’s not surprising hospitals are fighting so hard keep no fault. We’re seeing 1,000 percent markups billed to insurers for accident care,” Moya said. “These costs are passed on to Florida drivers in the form of higher premiums.”

Florida’s no-fault system forces drivers to pay nearly $1.7 billion annually in higher auto insurance premiums.

Auto accidents in Florida are the only instance in which there are few standard charges for patient care. An industry survey evaluating typical hospital emergency room charges submitted to auto insurers for accident-related care between February 2006 and March 2006 highlights the abuses, finding a wide variation in the charges hospitals billed auto insurers for the EXACT same procedures.

Examples include:

  • An emergency room visit ranging from $20, the lowest billed price to $577, the highest billed price.
  • A trauma-level emergency room visit ranging from $388 to $3,672.
  • An X-ray of the spine ranging from $107 to $885.
  • A CT-scan of the spine ranging from $462 to $4,201.
  • A CT-scan of the head ranging from $460 to $5,300 the highest billed price.

In addition to abusing the system by significantly marking up accident-related care, the Florida Hospital Association’s exaggerated claim of $350 million in lost revenue is misleading. The figure skews the real revenues generated from accident-related care because it represents the total amount hospitals billed for care provided to auto accident victims, not the actual amounts they received from insurers for no-fault claims.

Eliminating Florida’s broken no-fault auto insurance system will give consumers greater choice in selecting the auto insurance coverages that best suit their needs, including paying for accident-related care. Beginning in October, Florida drivers will finally begin saving on their auto insurance when they are no longer forced to pay for Florida’s costly and broken no-fault auto insurance system.

The reality is most Florida drivers don’t even need this coverage because they already have medical payments coverage, uninsured motorist coverage, Medicare, Medicaid or private health care coverage - all of which would cover the cost of medical bills resulting from an auto accident. Additionally, 92 percent of Florida drivers already carry bodily injury liability coverage, according to the National Association of Insurance Commissioners.

However, these facts and the savings resulting from the elimination of an entire fraud industry when no-fault ends are being overshadowed by exaggerated claims about the costs of treating auto accident victims.

“Florida hospitals provide critical, emergency care to accident victims, however, the price of that care should not mean the sky’s the limit,” Moya said. “Florida drivers shouldn’t be treated as second-class citizens subject to extraordinary costs and multiple, unnecessary procedures.”

Floridians for Lower Insurance Costs is a coalition of more than 10,000 individual consumers, businesses and trade associations throughout Florida.

 

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