When it comes to communities funding air ambulance services, United Kingdom leads the way, and there is no doubt about it. It is the involvement of the locals that makes it happen. People are known to undertake several community efforts, no matter how small, to keep the medical flights funded. From marathons to selling cookies, people contribute in their own way through innovative fund-raising efforts. The question that such undertakings raise is this: does this method work across the board? The answer to this simple question, however, is quite complex and the success is dependent on several factors. Let’s take a look at some of them.
The Absence of Significant Private Air Ambulance Companies
In a country like the United States, there are several private players who do an exemplary job to provide air ambulance coverage. They span a wide network of rural areas with zero compromise on quality of transport. The problem, however, is the price that they charge. In the absence of adequate insurance coverage, they can turn out to be a huge challenge to pay off. Of course, there is the issue of network coverage and surprise billing that has got the country concerned lately. This is the prime factor that is pushing people to look at alternate means of funding air ambulance services.
Community Funding is Not Always Successful
The estimated cost of keeping air ambulance services floating runs over a million dollars. Even the most successful charitable medical flight services do not rely solely on community funding to satisfy this need. Governments and corporate organizations play an active role in their funding. Moreover, prominent personalities are known to raise awareness and extend support to raise awareness about the services. In the United States, however, such an ecosystem is completely missing. Unless there is a concerted effort to get it in, such efforts are bound to fail.
With rural hospitals in the United States closing down at an alarming rate, telemedicine is among the tools, along with air ambulance services, that is filling the void. Imagine a possibility where telemedicine is made available in medical flights. It would have a lasting impact on efficiency, quality of care and also costs. In this guide, we discuss the various possibilities in some detail.
Doctors Take Cubicles for Air Ambulance Services
Telemedicine essentially is an internet-enabled concept where the doctor in front of a computer relays real-time information through video conferencing. Of course, there needs to be a medical professional on the other end too, so that the physician’s instructions are followed correctly. An emerging trend today is telemedicine centers where tens of physicians behind cubicles offer remote healthcare services. This is especially helpful for people residing in rural parts of the United States where getting adequate medical help on time can be a real challenge.
Not All Emergencies can be Handled Online
Of course, there are going to be situations where personal medical attention becomes imperative, and if the situation is serious, it can demand air ambulance services. What if the patient is critical and the paramedic onboard needs expert medical advice? It is in situations like these that telemedicine can help air ambulance services. With professionals practicing a wide range of specialties, it becomes easy to get the right help at the right time for air ambulance companies.
A Tie up is Necessary
Today, there exist several telemedicine businesses that hire tens of doctors. However, there is a gap and that is collaboration between telemedicine industry and air ambulance services. Such a move will enhance patient care while cutting costs as air ambulance companies can do away with having physicians at the site all the time. It can be a pay-per-service model. Moreover, the medical flight service would have instant access to an array of medical specialties.
In light of the recent developments where medical flights around the world were disrupted due to illegally flying drones, there are a few questions that beg to be asked: “Is flying drones legal in the United States?”, “If so, what are the rules and legislations that govern flying of drones?”. Once you are aware of facts such as these, it helps flying them within the legal bounds making it easier for medical flights to ply. It must be noted in this context that flying drones is perfectly legal in the United States, subject to certain restrictions, so much so that even foreigners can bring them into the country and fly them. The Federal Aviation Authority as well as National Aviation Authority allow them.
Rules that Govern Drones in the United States
Rules for flying drones recreationally:
- The reason for flying must only be recreational and there must be no business angle to it.
- Hobbyists must visit https://faadronezone.faa.gov/#/ and register the drone with Federal Aviation Authority
- The drones must never escape your line of vision as you fly them
- Only those drones which are under 55 lbs are permitted
- One must never be close to any aircraft
- Only flying in Class G airspace is allowed
- It is strictly prohibited to fly close to emergency response vehicles such as medical flights
Rules for flying drones commercially:
- The operator must hold a FAA-issued Remote Pilot Certification
- The drones must be registered with FAA just like recreational ones
- It must weight under 55 lbs
- The flight must not cross the speed of 100 miles per hour
- The drone must always remain below 400 feet so that they do not disturb medical flights and other aircrafts
- Any manned aerial vehicle must be given the right to way
- Flying directly over people is prohibited
- Flying a drone from a vehicle is only allowed in thinly populated regions
If these simple rules are taken care of, drone flying becomes a safe activity.
Well this might not come to you as a surprise because you might have witnessed this yourself. According to one survey conducted by Kaiser Family Foundation, about 40% of US citizens have revealed that their families have received a medical bill despite being covered by medical insurance. This is a growing problem for the country as insurance companies are seen restricting the number of providers in their networks. Of course, out of network providers are not covered by insurance companies. In this context, the question arises, is it the same logic behind huge medical flight bills that people across the country are witnessing?
Medical Flight Bills and Insurance Network
A majority of industry experts believe medical flight service providers willingly stay out of insurance networks. The reason is simple, they lose the freedom to charge what they feel is fair for their services. It is also felt that there is a huge disparity between what the medical flight industry believes is a fair payout and what the insurance industry pays. The middle ground, it seems, is something that has not been achieved so far. The issue has not gone unnoticed by the lawmakers. However, the opinion is divided as to who is responsible for the huge bills.
Efforts by Lawmakers to Bring Down the Bills
Several attempts have been made to limit the amount that can be charged for medical flight services. From trying to ban balance billing to compelling air ambulance companies to come under insurance networks, several innovative efforts have failed. The reason behind this is the Airline Deregulation Act of 1978. Designed to create a competitive environment to keep the price of this essential service down, it precludes the state governments from intervening in the matters of air ambulances. Only the Federal Government is authorized to make changes.
Imagine heading a business where customers only pay you 30% of the time in full and the remaining 70% only pay you 50% of the cost. How would your business survive? This is precisely the situation of most air ambulance companies in the United States of America say industry experts. What adds insult to the injury is the fact that there is a outcry about the charges both in national media as well as people, not to mention the politicians who are trying to pin all the blame on air ambulance companies. Most players in the industry say that air ambulance business is getting harder by the day to run.
Air Ambulance Companies Asked to Do More
Rural hospitals in the US are closing down at a rapid rate. More and more rural patients are veering towards the services extended by air ambulance companies. However, the fact remains that air ambulance services are expensive and the costs are not being reimbursed by health insurance providers citing several reasons. While the most common is the ‘lack of medical necessity’ others simply have a small ceiling of reimbursements that have not been revised for a very long time.
Most of the Air Ambulance Costs are Fixed
Costs of running a medical base is, on an average, about USD 3 million a year. This amount accounts for about 85% of the costs and are fixed. These include maintenance of the aircraft, hangar, support staff, crew and the like. Then there are write-downs that are either forced upon the air ambulance companies or the ones that they undertake themselves on humanitarian grounds. All this adds up to a huge amount. Plus, there are always the running costs such as fuel which is also quite expensive. Industry experts feel that the demand for the services provided by air ambulance companies is going to increase considering that the population is aging, and that something needs to be done on a war footing to make the reimbursements commiserate with the services provided.
Air ambulance transport can be a necessity when travelling abroad for medical treatment. Air ambulance transport can be easily arranged owing to the availability of such services throughout the globe today. What worries most people are other aspects such as:
- Arranging for postoperative care
- Arranging the paperwork to enter the country
- Arranging medical care
- Other aspects such as language and cultural change
Some vital decisions such as a fellow traveler, which is usually a family member, must be decided.
Traveling to the US through Air Ambulance Transport or Otherwise
There is no doubt that air ambulance transport to United States could be quite expensive. However, those who are willing to shell out the money also get the best possible care when the medical situation is complicated. It is well known that the US medical system is quite advanced and well organized, which is not the case in many countries around the world. It must be noted that there are other options than opting solely for an air ambulance transport.
For instance, if the patient is able to walk and take care of certain basic functions, an air medical escort may be enough. Even if the patient is not able to mobilize himself, a commercial airline stretcher may be enough, provided the patient does not need life support.
Air Medical Transport Needs some Planning
Most of the large hospitals in the United States are well equipped to receive foreign patients. Hospitals have help at hand, designed specifically for such patients. However, choosing an air medical transport provider can be quite tough. Careful consideration must be given to both costs, the make of the aircraft, and the quality of services offered. Most of the service providers have online presence so the preliminary research must be conducted online. Also, you must look at their testimonials. Once you zero down on a few, feel free to give them a call and talk to one of their representatives.
You may want to hire an air medical transport provider that takes care of everything from transit formalities to booking the hospital for you. This allows you to feel confident of the travel and relieves you of any travel anxiety that might be bothering you.