Literature DB >> 27974361

One In Five Inpatient Emergency Department Cases May Lead To Surprise Bills.

Christopher Garmon1, Benjamin Chartock2.   

Abstract

A surprise medical bill is a bill from an out-of-network provider that was not expected by the patient or that came from an out-of-network provider not chosen by the patient. In 2014, 20 percent of hospital inpatient admissions that originated in the emergency department (ED), 14 percent of outpatient visits to the ED, and 9 percent of elective inpatient admissions likely led to a surprise medical bill. Project HOPE—The People-to-People Health Foundation, Inc.

Entities:  

Keywords:  Balance Billing; Consumer Issues; Narrow Networks; Physician Payment; Surprise Medical Bills

Mesh:

Year:  2016        PMID: 27974361     DOI: 10.1377/hlthaff.2016.0970

Source DB:  PubMed          Journal:  Health Aff (Millwood)        ISSN: 0278-2715            Impact factor:   6.301


  9 in total

Review 1.  Insurance Networks and Access to Affordable Cancer Care.

Authors:  Kenneth L Kehl; Nancy L Keating; Sharon H Giordano; Deborah Schrag
Journal:  J Clin Oncol       Date:  2019-12-05       Impact factor: 44.544

2.  Out-Of-Network Spending Mostly Declined In Privately Insured Populations With A Few Notable Exceptions From 2008 To 2016.

Authors:  Zirui Song; William Johnson; Kevin Kennedy; Jean Fuglesten Biniek; Jacob Wallace
Journal:  Health Aff (Millwood)       Date:  2020-06       Impact factor: 6.301

3.  Variation in Emergency Department vs Internal Medicine Excess Charges in the United States.

Authors:  Tim Xu; Angela Park; Ge Bai; Sarah Joo; Susan M Hutfless; Ambar Mehta; Gerard F Anderson; Martin A Makary
Journal:  JAMA Intern Med       Date:  2017-08-01       Impact factor: 21.873

4.  "Surprise" Out-of-network Billing in Orthopedic Surgery: Charges From Surprising Sources.

Authors:  Mihir Sanjeev Dekhne; Ushapoorna Nuliyalu; Andrew J Schoenfeld; Justin B Dimick; Karan R Chhabra
Journal:  Ann Surg       Date:  2020-05       Impact factor: 12.969

5.  Quantifying Balance Billing for Out-of-Network Behavioral Health Care in Employer-Sponsored Insurance.

Authors:  Sarah A Friedman; Haiyong Xu; Francisca Azocar; Susan L Ettner
Journal:  Psychiatr Serv       Date:  2022-03-23       Impact factor: 4.157

6.  Geographic Variation in Hospital-Based Physician Participation in Insurance Networks.

Authors:  Sayeh Nikpay; Leonce Nshuti; Michael Richards; Melinda B Buntin; Daniel Polsky; John A Graves
Journal:  JAMA Netw Open       Date:  2022-05-02

7.  Cost-Sharing Disparities for Out-of-Network Care for Adults With Behavioral Health Conditions.

Authors:  Wendy Yi Xu; Chi Song; Yiting Li; Sheldon Michael Retchin
Journal:  JAMA Netw Open       Date:  2019-11-01

8.  Trends in Hospital Lawsuits Filed Against Patients for Unpaid Bills Following Published Research About This Activity.

Authors:  Joseph Giuseppe R Paturzo; Farah Hashim; Chen Dun; Michael J Boctor; William E Bruhn; Christi Walsh; Ge Bai; Martin A Makary
Journal:  JAMA Netw Open       Date:  2021-08-02

9.  Comparison of the Quality of Hospitals That Admit Medicare Advantage Patients vs Traditional Medicare Patients.

Authors:  David J Meyers; Amal N Trivedi; Vincent Mor; Momotazur Rahman
Journal:  JAMA Netw Open       Date:  2020-01-03
  9 in total

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