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The Latest Research, Commentary, and News from Health Affairs
Wednesday, May 27, 2020
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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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A CLOSER LOOK—Out-Of-Network BillingWhen 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
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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