Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1056/NEJMp2035905 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Persistence of provider directory inaccuracies after the No Surprises Act.
Am J Manag Care
November 2024
Department of Health Policy and Management, School of Public Health, Texas A&M University, 212 Adriance Lab Rd, 1266 TAMU, College Station, TX 77843-1266. Email:
Objectives: Provider directory inaccuracies have important implications for care navigation and access as well as ongoing regulatory efforts. We assessed the extent to which identified provider directory inaccuracies persisted across 7 specialties (cardiology, dermatology, endocrinology, gastroenterology, neurology, obstetrics-gynecology, primary care) and 5 carriers in the Pennsylvania Affordable Care Act insurance marketplace.
Study Design: A secret shopper survey recontacted inaccurately listed providers (N = 1802) between 403 and 574 days after they were identified in an earlier secret shopper survey.
The impacts of New York's balance billing regulation on ground ambulance pricing.
Health Serv Res
October 2024
Division of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, Ohio, USA.
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 experiment using a difference-in-differences design with randomization inference (RI) to examine the effects of New York state regulations on the prices of emergency ground ambulances, analyzing 2012-2019 commercial claims data. In March 2015, New York implemented a law protecting patients from surprise out-of-network (OON) balance bills, including ground ambulance services.
Neurointerventional payment for out-of-network mechanical thrombectomy in the era of the No Surprises Act.
J Neurointerv Surg
January 2025
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Article Synopsis
- The No Surprises Act (NSA), enacted by Congress in 2021, allows out-of-network providers to appeal payment disputes through an arbitration process called Independent Dispute Resolution (IDR), specifically evaluated for mechanical thrombectomy (MT).
- A simulation study found that neurointerventionalists generally need to submit multiple claims to make the IDR process financially viable; for professional claims, at least four are needed, while global claims require at least two.
- The results indicate that large MT centers rarely benefit from IDR for professional-only claims (0% viability), and only 13.2% of global claims are financially viable through IDR; smaller stroke centers show even less viability, raising concerns about inadequate reimbursement under NSA.
The impact of surprise billing laws on emergency services.
Health Econ
November 2024
Ohio State University, Columbus, Ohio, USA.
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.
View Article and Find Full Text PDFMitigating Harms of Social Media for Adolescent Body Image and Eating Disorders: A Review.
Psychol Res Behav Manag
July 2024
Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
Social media has negative effects on adolescent body image and disordered eating behaviors, yet adolescents are unlikely to discontinue engaging with these platforms. Thus, it is important to identify strategies that can reduce the harms of social media on adolescent mental health. This article reviews research on social media and adolescent body image, and discusses strategies to reduce risks associated with social media use.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!