Understanding surprise Out-of-Network billing in hand and upper extremity care

C Long, BH Cho, AM Giladi - The Journal of Hand Surgery, 2021 - Elsevier
Surprise billing occurs when insured patients receive unexpected out-of-network charges
and fees even when the emergency department, facility, or primary physician who provided …

Consumer experiences navigating health care provider directories and support of federal policy action

SF Haeder, WY Xu - World Medical & Health Policy, 2024 - Wiley Online Library
Most Americans rely on managed care networks and provider directories to access care.
Little is known about how patients experience navigating directories, how it affects their …

Cornerstones of 'fair'drug coverage: appropriate cost sharing and utilization management policies for pharmaceuticals

SD Pearson, A Towse, M Lowe… - Journal of …, 2021 - becarispublishing.com
At the heart of all health insurance programs lies ethical tension between maximizing the
freedom of patients and clinicians to tailor care for the individual and the need to make …

Preventing financial strain for low-and moderate-income adults: a comparison of Medicaid, Marketplace, and employer-sponsored insurance

S Saluja, C Kaplan, P Dhupati, D McCormick - Journal of general internal …, 2021 - Springer
Background Medicaid expansion and subsidized private plans purchased on the Affordable
Care Act's (ACA) Marketplaces accounted for most of the ACA's coverage gains. Objective …

The impacts of New York's balance billing regulation on ground ambulance pricing

WY Xu, C Garmon, SM Retchin, Y Li - Health Services Research - Wiley Online Library
Objective To examine the effects of New York's surprise billing regulations on price changes
by emergency ground ambulance service providers. Study Design We exploited a natural …