Matches in SemOpenAlex for { <https://semopenalex.org/work/W2890592346> ?p ?o ?g. }
Showing items 1 to 73 of
73
with 100 items per page.
- W2890592346 abstract "Using insurance claims data capturing 8.9 million emergency episodes, we show that in 22% of cases, patients attended in-network hospitals, but were treated by out-of-network physicians. We find that out-of-network billing is concentrated in a small group of primarily for-profit hospitals. Within 50% of hospitals in our sample, fewer than 5% of patients saw out-of-network physicians. In contrast, at 15% of hospitals, more than 80% of patients saw out-of-network physicians. Out-of-network billing allows physicians to substantially increase their payment rates relative to what they would be paid for treating in-network patients and significantly improve their outside option when bargaining over in-network payments. Because patients cannot avoid out-of-network physicians during an emergency, physicians have an incentive to remain out-of-network and receive higher payment rates. Hospitals incur costs when out-of-network billing occurs within their facilities. We illustrate in a model and confirm empirically via analysis of two leading physician-outsourcing firms that physicians offer transfers to hospitals to offset the hospitals' costs of allowing out-of-network billing to occur within their facilities. We find that a New York State law that introduced binding arbitration between physicians and insurers to settle surprise bills reduced out-of-network billing rates." @default.
- W2890592346 created "2018-09-27" @default.
- W2890592346 creator A5025558230 @default.
- W2890592346 creator A5069757008 @default.
- W2890592346 creator A5088930090 @default.
- W2890592346 date "2017-07-01" @default.
- W2890592346 modified "2023-09-27" @default.
- W2890592346 title "Surprise! Out-of-Network Billing for Emergency Care in the United States" @default.
- W2890592346 hasPublicationYear "2017" @default.
- W2890592346 type Work @default.
- W2890592346 sameAs 2890592346 @default.
- W2890592346 citedByCount "0" @default.
- W2890592346 crossrefType "posted-content" @default.
- W2890592346 hasAuthorship W2890592346A5025558230 @default.
- W2890592346 hasAuthorship W2890592346A5069757008 @default.
- W2890592346 hasAuthorship W2890592346A5088930090 @default.
- W2890592346 hasConcept C10138342 @default.
- W2890592346 hasConcept C144133560 @default.
- W2890592346 hasConcept C145097563 @default.
- W2890592346 hasConcept C15744967 @default.
- W2890592346 hasConcept C162118730 @default.
- W2890592346 hasConcept C162324750 @default.
- W2890592346 hasConcept C162853370 @default.
- W2890592346 hasConcept C175444787 @default.
- W2890592346 hasConcept C194828623 @default.
- W2890592346 hasConcept C2780343955 @default.
- W2890592346 hasConcept C29122968 @default.
- W2890592346 hasConcept C46934059 @default.
- W2890592346 hasConcept C545542383 @default.
- W2890592346 hasConcept C71924100 @default.
- W2890592346 hasConcept C77805123 @default.
- W2890592346 hasConceptScore W2890592346C10138342 @default.
- W2890592346 hasConceptScore W2890592346C144133560 @default.
- W2890592346 hasConceptScore W2890592346C145097563 @default.
- W2890592346 hasConceptScore W2890592346C15744967 @default.
- W2890592346 hasConceptScore W2890592346C162118730 @default.
- W2890592346 hasConceptScore W2890592346C162324750 @default.
- W2890592346 hasConceptScore W2890592346C162853370 @default.
- W2890592346 hasConceptScore W2890592346C175444787 @default.
- W2890592346 hasConceptScore W2890592346C194828623 @default.
- W2890592346 hasConceptScore W2890592346C2780343955 @default.
- W2890592346 hasConceptScore W2890592346C29122968 @default.
- W2890592346 hasConceptScore W2890592346C46934059 @default.
- W2890592346 hasConceptScore W2890592346C545542383 @default.
- W2890592346 hasConceptScore W2890592346C71924100 @default.
- W2890592346 hasConceptScore W2890592346C77805123 @default.
- W2890592346 hasLocation W28905923461 @default.
- W2890592346 hasOpenAccess W2890592346 @default.
- W2890592346 hasPrimaryLocation W28905923461 @default.
- W2890592346 hasRelatedWork W124132969 @default.
- W2890592346 hasRelatedWork W1576376583 @default.
- W2890592346 hasRelatedWork W187521086 @default.
- W2890592346 hasRelatedWork W1988931837 @default.
- W2890592346 hasRelatedWork W2007376257 @default.
- W2890592346 hasRelatedWork W2129573288 @default.
- W2890592346 hasRelatedWork W2418247112 @default.
- W2890592346 hasRelatedWork W2438662505 @default.
- W2890592346 hasRelatedWork W2532226959 @default.
- W2890592346 hasRelatedWork W2600781895 @default.
- W2890592346 hasRelatedWork W277981054 @default.
- W2890592346 hasRelatedWork W2929235294 @default.
- W2890592346 hasRelatedWork W2995295569 @default.
- W2890592346 hasRelatedWork W3009926934 @default.
- W2890592346 hasRelatedWork W3015492143 @default.
- W2890592346 hasRelatedWork W3121334929 @default.
- W2890592346 hasRelatedWork W3124237232 @default.
- W2890592346 hasRelatedWork W3125265680 @default.
- W2890592346 hasRelatedWork W3185384395 @default.
- W2890592346 hasRelatedWork W2053215820 @default.
- W2890592346 isParatext "false" @default.
- W2890592346 isRetracted "false" @default.
- W2890592346 magId "2890592346" @default.
- W2890592346 workType "article" @default.