Surprise Billing in Surgical Care Episodes - Overview, Ethical Concerns, and Policy Solutions in Light of COVID-19. - OpacWWW

Szczegóły

Tytuł:: Surprise Billing in Surgical Care Episodes - Overview, Ethical Concerns, and Policy Solutions in Light of COVID-19.
Autorzy:: Sheckter CC; Division of Plastic & Reconstructive Surgery, Department of Surgery, Stanford University, Stanford, California.
Singh P; Department of Breast Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Angelos P; Department of Surgery and MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, Illinois.
Offodile AC 2nd; Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.; Institute for Cancer Care Innovation, University of Texas MD Anderson Cancer Center, Houston, Texas.; Baker Institute for Public Policy, Rice University, Houston, Texas.
Źródło:: Annals of surgery [Ann Surg] 2020 Oct; Vol. 272 (4), pp. e264-e265.
Typ publikacji:: Journal Article; Review
Język:: English
Imprint Name(s):: Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins
MeSH Terms:: Episode of Care*
Coronavirus Infections/*economics
Fee-for-Service Plans/*economics
Hospital Costs/*ethics
Insurance Coverage/*economics
Pandemics/*economics
Pneumonia, Viral/*economics
Surgical Procedures, Operative/*economics
COVID-19 ; Coronavirus Infections/epidemiology ; Fee-for-Service Plans/ethics ; Female ; Health Policy ; Humans ; Insurance Coverage/organization & administration ; Male ; Pneumonia, Viral/epidemiology ; Policy Making ; Reimbursement Mechanisms/legislation & jurisprudence ; United States
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Dekhne MS, Ushapoorna N, Schoenfeld AJ, et al. Surprise” out-of-network billing in orthopedic surgery charges from surprising sources. Ann Surg 2020; 271:e116e118.
Bluth R. Bill of the Month: Estimate for Cost of Hernia Surgery Misses the Mark. NPR. Aug 29, 2019. Available at: https://www.npr.org/sections/health-shots/2019/08/29/753506549/bill-of-the-month-estimate-for-cost-of-hernia-surgery-misses-the-mark. Accessed April 20, 2020.
Rosenthal E. After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know. The New York Times. Sep 21, 2014. Available at: https://www.nytimes.com/2014/09/21/us/drive-by-doctoring-surprise-medical-bills.html. Accessed April 20, 2020.
Pollitz K, Rae M, Claxton G, et al. An Examination of Surprise Medical Bills and Proposals to Protect Consumers From Them. Peterson-Kaiser Family Foundation. February 10, 2020. Available at: https://www.healthsystemtracker.org/brief/an-examination-of-surprise-medical-bills-and-proposals-to-protect-consumers-from-them/. Accessed April 21, 2020.
King JS. Covid-19 and the need for health care reform. N Engl J Med 2020; [published online ahead of print, 2020 Apr 17]; doi:10.1056/NEJMp2000821. (PMID: 10.1056/NEJMp2000821)
Sun EC, Mello MM, Moshfegh J, et al. Assessment of out-of-network billing for privately insured patients receiving care in in-network hospitals. JAMA Intern Med 2019; 179:15431550.
Chhabra KR, Sheetz KH, Nuliyalu U, et al. Out-of-network bills for privately insured patients undergoing elective surgery with in-network primary surgeons and facilities. JAMA 2020; 323:538547.
Riddick, Frank A. The code of medical ethics of the American Medical Association. Ochsner J 2003; 5:610.
Burns K. Governors Plead With Other States for More Health Care Workers to Fight Coronavirus. Vox. Mar 31, 2020. Available at: https://www.vox.com/policy-and-politics/2020/3/31/21201281/coronavirus-staffing-shortage-governors-health-care-workers-help Accessed April 23, 2020.
Jonsen AR, Siegler M, Winslade WJ. Clinical Ethics a Practical Approach to Ethical Decisions in Clinical Medicine. New York: MacMillian Publishing; 1982.
Bill Text - AB-72 Health Care Coverage: Out-of-network Coverage. [Internet]. [Cited 2020 Apr 14]. Available at: https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB72. Accessed April 14th, 2020.
Rickert J. We Need Benchmarking, Not Arbitration, to Quell Surprise Medical Billing. STAT. October 7, 2019. Available at: https://www.statnews.com/2019/10/07/surprise-medical-bills-benchmarking-not-arbitration/. Accessed Mar 29, 2020.
Bipartisan Policy Center. Discussing Approaches to Curbing Surprise Medical Bills. Available at: https://bipartisanpolicy.org/blog/discussing-approaches-to-curbing-surprise-medical-bills. Accessed April 15th, 2020.
Rep. Ruiz's Arbitration Proposal For Surprise Billing (H.R. 3502) Would Lead To Much Higher Costs And Deficits. Available at: https://www.healthaffairs.org/do/10.1377/hblog20190716.355260/full/. Accessed April 13th, 2020.
Navathe AS, Troxel AB, Liao JM, et al. Cost of joint replacement using bundled payment models. JAMA Intern Med 2017; 177:214222.
Adler L, Fiedler M, Ginsburg PB, et al. State Approaches to Mitigating Surprise Out-of-network Billing. Brookings Institute. 2019. Available at: https://www.brookings.edu/research/state-approaches-to-mitigating-surprise-out-of-network-billing/. Accessed April 3rd, 2020.
Entry Date(s):: Date Created: 20200611 Date Completed: 20200928 Latest Revision: 20210506
Update Code:: 20240104
PubMed Central ID:: PMC7299102
DOI:: 10.1097/SLA.0000000000004152
PMID:: 32520741
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Surprise Billing in Surgical Care Episodes - Overview, Ethical Concerns, and Policy Solutions in Light of COVID-19.