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The Latest Research, Commentary, and News from Health Affairs
Wednesday, April 15, 2020
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IN THE JOURNAL
AHEAD OF PRINT—FROM OUR MAY ISSUE
Congress is reportedly planning to wrap surprise medical billing legislation into the next coronavirus stimulus package, which would assist thousands of Americans who have been hospitalized during the pandemic and might face unexpected out-of-network bills while also facing financial hardship during the economic downturn. Two studies, released ahead of print today, address different aspects of the surprise medical billing issue.
Most Patients Undergoing Ground And Air Ambulance Transportation
Receive Sizable Out-Of-Network Bills
By Karan R. Chhabra, Keegan McGuire, Kyle H. Sheetz, John W. Scott,
Ushapoorna Nuliyalu, and Andrew M. Ryan
Karan R. Chhabra and coauthors sought to understand the impact of surprise out-of-network bills in ground and air ambulance transportation. They evaulated information from the Clinformatics DataMart Database for the years 2013–17, which contains insurance claims from all fifty states and the District of Columbia from a large national insurance plan. According to the study, 71 percent of all ground and air ambulance rides involved potential surprise bills. Read More >>
Prevalence And Characteristics Of Surprise Out-Of-Network Bills
From Professionals In Ambulatory Surgery Centers
By Erin L. Duffy, Loren Adler, Paul B. Ginsburg, and Erin Trish
Erin Duffy and coauthors looked at the relatively unexplored
prevalence of surprise medical bills in ambulatory surgery centers (ASCs), analyzing 4.2 million ASC-based episodes of care from around the US. They found that in 10 percent of the episodes, patients were treated at in-network ASCs but involuntarily received care from out-of-network providers. Read More >>
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TODAY ON THE BLOG
COVID-19
Designating Certain Post-Acute Care Facilities As COVID-19 Skilled Care Centers Can Increase Hospital Capacity And Keep Nursing Home Patients Safer
By Leemore S. Dafny and Steven S. Lee
Hospitals are bracing for an influx of patients that exceeds their current capacity to care for them. We recommend designating specific nursing facilities as “COVID-19 Skilled Care Centers.” These facilities should prepare for the influx by declining new uninfected patients effective immediately, and, if uninfected longer-term
residents cannot be well-isolated, transferring them to other facilities. Read More >>
SUBSTANCE ABUSE
Once The Coronavirus Pandemic Subsides, The Opioid Epidemic Will Rage
By Navdeep S. Kang
If we take these steps now, when the next generation asks how we were able to manage an epidemic amidst a pandemic, we’ll be able to say that we took meaningful action simultaneously on two fronts—and saved countless lives in doing so. Read More >>
CONSIDERING HEALTH
SPENDING
Maintaining Progress Toward Accountable Care And Payment Reform In An Unprecedented Pandemic: Part 2: Immediate Issues And Short-Term Actions
By William K. Bleser, Elizabeth Singletary, Hannah L. Crook, Jonathan Gonzalez-Smith, Robert S. Saunders, and Mark B. McClellan
In this post, we identify immediate issues and short-term actions that private payers, Medicare, and Medicaid can take immediately to adjust their accountable care organization programs to adapt to this crisis in the coming weeks and months. Read More >>
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A CLOSER LOOK—Homelessness During Pregnancy Homelessness during pregnancy poses significant health risks for mothers and infants. A Health Affairs article by Robin E. Clark and coauthors says, “As health care providers increase their emphasis on social determinants of health, it is important to understand how unstable housing contributes to complications during pregnancy.”
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About Health Affairs
Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday
Update.
Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.
Copyright © Project HOPE: The People-to-People Health Foundation, Inc.
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