Thursday, September 8, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,
Don’t miss this month’s Journal Club event on Thursday, September 15, when authors Mitchell Tang and Ateev Mehrotra of Harvard University will discuss their paper on remote patient monitoring.
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Both states both have existing laws allowing arbitrators to consider charges during payment disputes over
surprise bills.
Studying medical claims data for commercial health plan members from 2011–2022, the authors find different outcomes in each state.
"In New York, provider charges increased for surprise bill scenarios that arose from inpatient nonemergency hospitalizations after the passage of a surprise billing law that uses an independent dispute resolution process relying on charges to determine out-of-network provider payments," Gordon and coauthors report.
In contrast, they find a decrease in provider charges for a similar set of scenarios in California, where the law instead relies on a payment standard tied to in-network prices to determine out-of-network payments during surprise bill scenarios.
Today in Health Affairs
Forefront, Andrew Racine and Thomas Lee ask the question: What accounts for the fact that Black populations have higher mortality rates on a population basis but in-hospital case fatality rates at least as good as that for Whites in these large hospital systems?
On the topic of COVID-19, Angela K. Shen and Jason L. Schwartz assess the future of adult vaccination programs as the US transitions to a mixed public-private model for the purchase, delivery, and coverage of COVID-19 vaccines.
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