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

**Monday, December 16, 2019**

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IN THE JOURNAL

AHEAD OF PRINT

**** Out-Of-Network Billing And Negotiated Payments For Hospital-Based
Physicians

By Zack Cooper, Hao Nguyen, Nathan Shekita, and Fiona Scott Morton

Most recently, attention on out-of-network billing has been focused on
patients receiving large, unexpected physician bills. However, the
impact of out-of-network billing on total health care spending is also
significant, according to Zack Cooper and coauthors from Yale
University. Analyzing data from a large commercial insurer, the authors
found that at in-network hospitals, 11.8 percent of anesthesiology care,
12.3 percent of care involving a pathologist, 5.6 percent of claims for
radiologists, and 11.3 percent of cases involving an assistant surgeon
were billed out of network. Read More >>

Read the December 2019 Table of Contents

****

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**for full journal access**

TODAY ON THE BLOG

CANCER

Redesigning Oncology Care: A Look at CMS' Proposed Oncology First
Model

By François de Brantes, Nick Bluhm, Alice Gosfield, Michael Kolodziej,
and Valinda Rutledge

We hope that the Centers for Medicare and Medicaid Services will heed
our recommendations. Patients with cancer and the physicians who care
for them are counting on it. Read More >>

ACCESS TO CARE

Shaping The 2020 National Vaccine Plan

By Angela K. Shen, Richard Hughes IV, Emily Sobel, Alessandra Fix, and
Marissa Shaw

The development of the 2020 National Vaccine Plan provides an
opportunity to enhance immunization activities at all levels (federal,
state, and local) by ensuring that the guiding framework reflects
contemporary challenges and opportunities for optimizing vaccine
uptake.Read More >>

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A CLOSER LOOK-Mental Health Services

Federal regulators are setting up a new three-digit number that will
reach a suicide prevention hotline to make it easier to seek help. This
Health Affairs Blog

post discusses the importance of community-based mental health services
to fight this country's mental health crisis and expand access to
care.

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About Health Affairs

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at the intersection of health,
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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
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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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