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**The Latest Research, Commentary, and News from Health Affairs**

**Wednesday, May 27, 2020**

TODAY ON THE BLOG
COVID-19

Reducing COVID-19 Deaths In Nursing Homes: Call To Action

By Michael D. Cantor, Christine K. Liu, Monera Wong, Jenny S. Chiang,
David F. Polakoff, and Jatin Dave

Success in reducing COVID-19-related morbidity and mortality in
nursing homes requires urgent action in three areas: 1) enhancing
infection control; 2) ensuring necessary resources for staff, training,
PPE, onsite ancillary services, and so forth; and 3) establishing
state-level task forces on pandemic response in nursing homes. Read More
>>

Ending The COVID-19 Pandemic Requires Effective Multilateralism

By Marco Schäferhoff and Gavin Yamey

Is multilateralism alive and well in the midst of the COVID-19 pandemic?
There are certainly some promising signs that it is. Substantial
additional investments will be needed to close the funding gaps for
emergency and disaster risk management in low- and middle-income
countries, to respond to the COVID-19 outbreak, and to strengthen
preparedness for future epidemics and pandemics. Read More >>

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IN THE JOURNAL

COSTS & SPENDING

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 Chhabra and coauthors sought to understand the impact of surprise
out-of-network bills in ground and air ambulance transportation. They
evaluated 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 analyzed surprise billing in 4.2 million
ambulatory surgery center (ASC) episodes of care in 2014-17. 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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Read the May 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Out-Of-Network Billing
When physicians cannot avoid billing out-of-network for care, it exposes
patients to financial risk and undercuts the functioning of health care
markets. Zack Cooper and coauthors used 2015 data from a large
commercial insurer to conclude that, when specialists were not able to
bill out of network
, it led
to lowered physician payments for privately insured patients and reduced
health care spending for people with employer-sponsored insurance.

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About Health Affairs

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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
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Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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