CHEVY CHASE, Md., Aug. 21, 2018 /PRNewswire-PRWeb/ -- As part of a coalition of 20-plus organizations seeking change
SPBA has actively shared its voice in the belief that reform is needed with regard to the rules and regulations that govern the air ambulance pricing structure. The association works directly with third party administrators (TPAs) throughout the country who are seeing their plans and patients face an increasing number of cases that result in exorbitant charges up to tens of thousands of dollars for air ambulance services.
In the letter provided to Senators John Thune (R-SD) and Bill Nelson (D-FL) by SPBA and a collaboration of health, transport and other industry organizations, several issues with air ambulances were addressed, including:
Anne Lennan, president of SPBA, explains, "In a life-threatening situation, being airlifted can be the best course for timely, critical care, but afterward, the patient is often met with an unexpectedly steep bill due to the current lack of pricing regulation." She added, "What's also discouraging is that so many patients are balance-billed even after air ambulance companies accept payment from health plans."
The joint letter shared with Senators Thune and Nelson also mentions an amendment proposed to the FAA in 2016 that would have allowed states to have input on air ambulance regulation. It encourages the consideration of a similar proposal with current regulation while emphasizing the thought that must be given in cases that involve coordinating cross-border transportation.
"With both the utilization of and cost for these emergency air ambulance services going up, SPBA feels strongly that a better solution is needed for fair pricing now more than ever," Lennan explained. "The patients who require this care deserve that."
According to the Association of Air Medical Services (AAMS), there are an estimated 400,000 rotor wing transports in the U.S. each year and another 150,000 fixed wing transports.
SPBA is the national association of Third Party Administration (TPA) firms that manage client employee benefit plans. It is estimated that over 75% of U.S. workers and their dependents in non-federal health coverage are in plans administered by TPAs. The clients of TPA firms include every size and format of employment, including large and small employers, state/county/city plans, union, non-union, collectively bargained multiemployer plans, as well as most industries and professions.
SOURCE Society of Professional Benefit Administrators
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