We have, for long, maintained that the air ambulance industry is extremely vital for the rural communities spread across the length and breadth of the United States. Now, with the flu season right around the corner, the importance of medical flights is even more. Besides, it looks like the COVID-19 pandemic is making a comeback with an increasing number of cases being reported throughout the country. There is no doubt that the population in the rural communities of the country will need special care in the days to come and the air ambulance industry will be the focus.
Air Ambulance Industry is the Bridge Rural America Needs
The onset of flu season may result in a flood of patients surging towards rural hospitals. The problem, however, is that there are not many health care facilities in these areas. Also, the capacity of these facilities to handle the pandemic could be less adequate than what the situation demands. Just think of the demands that a situation like this can place on the already stretched medical staff and resources. The situation can quickly turn chaotic and ultimately, lead to unprecedented tragedies. The time is right to pave way for the air ambulance industry to remain on standby.
How Can the Industry Prepare?
There are two aspects to this question. The first is under the control of the air ambulance industry. This includes setting up isolation pods, keeping resources such as PPEs handy, training the medical staff, etc. In fact, much of the air ambulance industry is already prepared due to the previous surge in COVID-19 cases.
The second part, however, is completely out of the air ambulance industry’s control. It involves money. With the insurance companies continuing to deny coverage for much of what the air ambulance companies quote, the problem is sure to bite the raw wound again.
The COVID-19 pandemic is slowly making inroads into rural America. The higher number of elderly people living in rural communities is especially vulnerable now. Moreover, the infection is known to be fatal to people with diabetes, heart disease, and other ailments that impact natural immunity in human beings. All things considered, people living in rural parts of the country must have access to medical flights. However, this is turning out to be a huge problem for organizations that offer air ambulance services. It has again boiled down to balance billing, insurance denials, and financial burden to patients.
Medical Flights Being Denied Coverage is a Concern
Medical flights are a part of an industry that is highly competitive and which is already struggling to stay afloat. The COVID-19 situation has created an emergency of sorts throughout the nation and medical flights need to play a huge role in offering adequate coverage to rural communities. However, the threat of inadequate coverage is limiting its services. In this context, it must be noted that when coverage is denied by insurance companies, the burden is shifted to the patients. This presents a significant financial burden to the patients that can run into several tens of thousands.
The Percentage of Balance Billing is Small but Significant
About 300,000 air ambulance evacuations are carried out every year; of this, 3% end up in balance bills. This is primarily due to insurance denials. Most of these denials are due to the service provider being out-of-network.
The providers of medical flights too have not been keen on going in-network with insurance companies. The reason for this is the fact that reimbursements rates have remained unchanged. However, there is hope. With states like Florida looking to revise insurance reimbursement rates, the scenario could change soon.
Air ambulance services play a critical part in providing medical care on time for stroke victims. The Centers for Disease Control estimates that about 795 thousand people suffer strokes every year in the United States of America. Up to 140 thousand of these people die of stroke. Approximately 610 thousand people have never experienced stroke before. To put these numbers into perspective, one person has a stroke every 40 seconds on average in the country. All these people need air ambulance services to receive care on time. If not, they are at risk of suffering disability for the rest of their life.
Air Ambulance Services are Time Critical in Stroke
It is said that the chances of survival and complete recovery improve drastically if the patient receives care within the first three hours of the stroke. Air ambulance services play a major role in ensuring that this. The fact that rural doctors are moving towards urban areas and the reality that rural hospitals are closing at a rapid rate makes air ambulance services for such regions critical and life-saving. These patients are in need of high-level care facilities equipped to handle this medical condition.
The Economics of Stroke
In the US, cost of stroke treatment is approximately USD 34 billion annually. This includes the cost of care, medicines and loss of work revenue due to medical absence. Despite this, insurances only cover about 30 to 40% of the cost related to air ambulance services. Why? Because the reimbursement rates have not been revised for over 20 years, which puts a lot of financial strain on air ambulance services. The result – medical flight service providers are closing at a rapid rate, especially in rural America. If something is not done about this by the congress, it could turn out to be a grave situation for the people in the near future.