Out-of-Network Air Ambulance Bills: Prevalence, Magnitude, and Policy Solutions.

The Milbank Quarterly
Erin C Fuse BrownLoren Adler

Abstract

Policy Points Out-of-network air ambulance bills are a type of surprise medical bill and are driven by many of the same market failures behind other surprise medical bills, including patients' inability to choose in-network providers in an emergency or to avoid potential balance billing by out-of-network providers. The financial risk to consumers is high because more than three-quarters of air ambulances are out-of-network and their prices are high and rising. Consumers facing out-of-network air ambulance bills have few legal protections owing to the Airline Deregulation Act's federal preemption of state laws. Any federal policies for surprise medical bills should also address surprise air ambulance bills and should incorporate substantive consumer protections-not just billing transparency-and correct the market distortions for air ambulances. Out-of-network air ambulance bills are a growing problem for consumers. Because most air ambulance transports are out-of-network and prices are rising, patients are at risk of receiving large unexpected bills. This article estimates the prevalence and magnitude of privately insured persons' out-of-network air ambulance bills, describes the legal barriers to curtailing surprise air ambulan...Continue Reading

References

Mar 17, 2004·The American Journal of Cardiology·Alain G BertoniDavid C Goff
Dec 16, 2016·Health Affairs·Christopher Garmon, Benjamin Chartock
Jan 4, 2018·The New England Journal of Medicine·Erin C Fuse Brown, Ameet Sarpatwari
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Apr 18, 2020·Annals of Surgery·Marcela G Del Carmen, Timothy G Ferris

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Citations

Oct 7, 2020·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Erin C Fuse BrownNgan T Nguyen
Oct 4, 2020·Journal of Pediatric Surgery·Pamela M ChoiDavid Juang
Jul 24, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Kevin Y WangAmit Jain

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