The impact of surprise billing laws on emergency services

IF 2 3区医学 Q2 ECONOMICS

Health economics Pub Date : 2024-07-10 DOI:10.1002/hec.4874

Christopher Garmon, Yiting Li, Sheldon M. Retchin, Wendy Yi Xu

引用次数: 0

Abstract

Numerous states implemented laws to protect emergency patients from surprise out-of-network medical bills. We investigated the effects of the state laws on emergency clinician reimbursements, charges, network participation, and potential surprise billing episodes. We did not find consistent evidence of effects on prices or charges. However, the state laws resulted in increased network participation and a reduction in potential surprise billing episodes. Our results suggest that the federal No Surprises Act, which is similar to many of the state laws, is unlikely to lead to price increases, but may benefit patients through increased provider network participation and alignment.

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突击收费法对急救服务的影响。

许多州都实施了保护急诊患者免受网络外意外医疗账单的法律。我们调查了各州法律对急诊医生的报销、收费、网络参与以及潜在的意外账单事件的影响。我们没有发现对价格或收费产生影响的一致证据。不过，州法律提高了网络参与度，减少了潜在的突击收费事件。我们的研究结果表明，与许多州法律类似的联邦《无意外法案》不太可能导致价格上涨，但可能会通过提高医疗服务提供者的网络参与度和一致性而使患者受益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health economics 医学-卫生保健

CiteScore

3.60

自引率

4.80%

发文量

177

审稿时长

4-8 weeks

期刊介绍： This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.