The impact of surprise billing laws on emergency services

Author:

Garmon Christopher1ORCID,Li Yiting2,Retchin Sheldon M.3,Xu Wendy Yi3

Affiliation:

1. Henry W. Bloch School of Management University of Missouri Kansas City Kansas City Missouri USA

2. Nationwide Children's Hospital Columbus Ohio USA

3. Ohio State University Columbus Ohio USA

Abstract

AbstractNumerous 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.

Funder

Robert Wood Johnson Foundation

Publisher

Wiley

Reference22 articles.

1. Using Synthetic Controls: Feasibility, Data Requirements, and Methodological Aspects

2. Adler L. Fiedler M.w et al. (2019).State approaches to mitigating surprise out‐of‐network billing. (Visited on 06/13/2022).

3. Measuring private equity penetration and consolidation in emergency medicine and anesthesiology

4. Adler L.(2019).Experience with New York’s arbitration process for surprise out‐of‐Network bills. (Visited on 03/31/2021).

5. Emergency Physicians Recover A Higher Share Of Charges From Out-Of-Network Care Than From In-Network Care

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