Imagine a situation where a patient is in a life-threatening situation and a medical flight is an absolute necessity. The treating physician recommends an air ambulance. However, when a call is placed for dispatch, the service provider refuses to comply. The reason behind this is bad weather conditions. The hospital then calls several other service providers until they find one that is willing to take the risk. This is called medical flight shopping. While this might seem to be a logical recourse for the patient, it is not always desirable. The risk taken by the patient and the crew is huge in such circumstances. Why do air ambulance service providers agree to such a call?
The Pressures on the Medical Flight Industry
There are over a thousand medical flight service providers in the United States. This means they have to divide the existing customer base within themselves. Plus, most of these businesses are privately funded so profits matter. Rejecting patients for whatever reason does not serve the profit motive of these investors. Hence, the crew is compelled to take the call of answering to the need. However, this eventually places a huge financial burden on the patient. Let’s understand how.
The Out of Network Issue
In a situation where the need for medical flight service is huge and time is short, the patient does not really have the option of choosing a service provider. Most often, the service that he or she ends up with is one that is not covered by the insurance provider. While the insurance might cover a base rate, medical flight companies do not always comply with such rates. As a result, the patient is later compelled to cough up a steep price that the medical flight company charges in the form of balance bills. Medical flight shopping thus is a high-risk and expensive affair – a practice that must be relooked.
Prince William has spoken out about the psychological toll that the air ambulance industry takes on individuals that power it. Having worked as an air ambulance pilot himself, it has often been witnessed that when he highlights the issues concerning the industry, the world takes notice. He did it again recently this month. He shared how he had to, sometimes, ferry children who were in critical condition and how it ‘took him over the edge’. He called the air ambulance industry professionals to be open about the mental health challenges that they encounter on a regular basis and to seek help.
Seeking Help trough Colleagues
People sailing in the same boat often understand and are empathetic towards each other. Same is the case with air ambulance industry professionals. It becomes easy to open up to fellow colleagues about issues that affect them mentally. Talking things out is known to lighten the woes of the mind and to get a better perspective of life. Family and friends too can be a great source to get those nagging thoughts out of the mind. Awareness must be created in the industry. It must be conveyed that talking it out is healthy.
Mental Issues and Employers
Mentally healthy employees are always more productive. Plus, it is the responsibility of the employer to take care of the employees. This is not limited to physical well being but also the mental well being. The air ambulance industry today is governed heavily when it comes to safety of the crew and the patients when in midair. This ensures physical well being. However, laws must be enacted to protect mental well being of the workforce too. Easy access to mental health professionals is prime among them. It must be noted, in this context, that many players in the air ambulance industry are cognizant of this need and have created an ecosystem to promote mental health.
Surprise billing or balance billing is not just a problem specific to the air ambulance industry. The healthcare landscape itself is riddled with it. We have seen far too often that people who opt for a medical flight service receive huge bills that are not covered by the insurance network.
As a result, they end up liable to pay the surprise bill to the air ambulance service provider. While we often see that the money is waved off or a huge discount is offered, it is still an inconvenience and often a point of friction between the consumers and the medical flight company.
Is the Air Ambulance Industry Doing Enough?
Doubts are often raised whether the air ambulance industry is doing enough to keep the costs in check. While it is undeniable that there are some bad actors, the industry experts reveal that going in-network is not an option. The reason is the unfair reimbursement rates they say.
At the current time, the cost projections by the air ambulance industry and what the insurance companies are willing to reimburse are poles apart. Of course, there are some initiatives like memberships that medical flight companies offer, but not many are able to get the full benefits of such initiatives as consumers do not feel that necessity to pay extra, in addition to their insurance premiums.
What Can the Air Ambulance Industry Do Further?
It all comes down to negotiations. It is imperative that the air ambulance industry has a healthy discussion with the insurance companies to arrive at a fair reimbursement rates. The industry must be flexible enough to ultimately join the insurance networks.
Moreover, there is a necessity to present their points of view to the government so that there is a clear understanding of the roadblocks. The ultimate aim must be to unburden the common man.
Cost saving seems to be the concern of the air ambulance industry in recent times. While there are several resources like the hangar and quality maintenance that cannot be contained, there are certain aspects that technology can help with. Fuel efficiency and route mapping are among those. In fact, the two are closely connected to each other, especially when it comes to long-distance air ambulance evacuation. Let’s dive into the factors that affect the two and how technology can help the air ambulance industry in this regard.
Air Ambulance Industry and Fuel Efficiency
Contingency fuel itself can be a source of fuel wastage for the air ambulance industry. Wondering how? It’s a no brainer – lesser weight translates to lesser fuel. Contingency fuel is usually carried to meet any unforeseen circumstance that can compel medical flight to be on air for a longer period of time.
If there was a mechanism where any adverse conditions can be predicted beforehand, the need for contingency fuel can be negated completely or at least reduced to a huge extent. The approach would help greatly.
Another aspect is flight route. Often, air ambulances are compelled to change their flight path or flight at varying altitudes due to changing weather conditions. Actions like these accelerate the fuel burn pace. If this uncertainty can be taken away, route planning becomes more efficient where the medical flight need not be on air for longer times than necessary. Needless to say, this increases the fuel efficiency and as a consequence, cuts associated costs.
How Technology Helps
Satellite connectivity in real time can help to a huge extent to plan the routes, but this is nothing new to the air ambulance industry but connect analytical algorithms to weather data and you have something new. The combination brings to the table the ability to predict weather and plan routes even better.