Patients put in out-of-network care situations frequently, analysis finds

About 9 percent of elective inpatient admissions resulted in at least one out-of-network medical bill in 2014, according to research highlighted on Aug. 1 by the USC-Brookings Schaeffer Initiative for Health Policy.

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The analysis examines studies on surprise billing published in medical journals and data from government organizations to better understand how frequently patients are put into situations that can lead to a surprise bill.

Specifically, researchers examined a Federal Trade Commission study published in Health Affairs in January 2017; a Government Accountability Office study published in March; and a study published in the New England Journal of Medicine in November 2017.

The analysis noted that 69 percent of air ambulance transports for privately insured patients were out-of-network in 2017. Additionally, about 20 percent of hospital emergency department visits resulted in at least one out-of-network bill in 2014.

 

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