Site of Ambulance Origination and Billing for Out-of-Network Services.

ABSTRACT:

Importance

The No Surprises Act implemented in 2022 aims to protect patients from surprise out-of-network (OON) bills, but it does not include ground ambulance services. Understanding ground ambulance OON and balance billing patterns from previous years could guide legislation aimed to protect patients following ground ambulance use.

Objective

To characterize OON billing from ground ambulance services by evaluating whether OON billing risk differs by the site of ambulance origination (home, hospital, nonhospital medical facility, or scene of incident).

Design, setting, and participants

Cross-sectional study of the Merative MarketScan dataset between January 1, 2015, and December 31, 2020, using claims-based data from employer-based private health insurance plans in th

SUBMITTER: Gong JH 

PROVIDER: S-EPMC10882413 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature