The air ambulance industry, for the most part, had been opposed to the recently passed bill by Congress that seeks to put an end to surprise billing practices. The state governments in the United States have been on a long and hard-fought quest to curb surprise billing practices. However, since the air ambulance industry is protected by federal law, states were helpless in controlling their billing practices. This fact has now changed and brought along new challenges for the air ambulance industry. Most of the players in the medical flight industry are private-equity based and have largely remained out of insurance networks. The new bill can hit them hard.
Effect on the Air Ambulance Industry
Maintaining air ambulance services is no small task. From maintaining the aircraft and hangars to paying off highly experienced and qualified personnel, the costs are high. So far, the costs were covered well as the discretion to bill their services had no curbs. Now, with the new bill, the air ambulance companies will have to make do with what the insurance companies approve. Failing to agree on the pricing will only lead them to an arbitrator whose decision will be final.
What Can the Air Ambulance Industry do?
It goes without saying that profits will dwindle down. However, as most air ambulance companies have already begun doing, it makes sense to join insurance networks. This will ease the payment process. Also, it is time that the industry looks at quality services wherein patients voluntarily opt for their services, even if it means that they will need to pay an out-of-pocket premium. The air ambulance industry now needs to veer its attention towards brand building activities. In this context, it must be noted that the service providers are still not compelled to limit their bills. The only change is that patients will no longer be liable to pay balance bills unless they opt to do so.
A bill concerning the surprise billing practices of the medical flight industry might bring a solution soon. The insurance companies and the medical flight industry have been in the midst of a heavily fought battle around this. Both parties have time and again blamed each other for the high air ambulance bills that patients receive. Such developments have also resulted in bad press for both the players. However, bringing the air ambulance industry to compromise on its billing practices has so far seemed impossible. This is mainly because the states have little control over them and the Federal Government has been sitting over it for quite some time.
The COVID-19 Situation and the Medical Flight Bill
The COVID-19 pandemic had definitely delayed the passage of any bill related to surprise billing practices of the medical flight industry. However, it now seems that it may be passed along with the COVID-19 relief bill. Politicians have intervened to get both parties to find a middle ground, but it has largely been unsuccessful. Both the industries have not budged from their stand but it must be noted that most medical flight service providers have tried to get into insurance networks in recent times.
What Will the Bill Do?
The Federal bill will prohibit medical flight service providers from charging the patients directly for their services in the event that they are out of the patient’s insurance network. This is mainly being done as any patient, during critical times, has no time to contemplate the choices. On the question as to what would happen when a patient wilfully chooses an out-of-network medical flight, he or she might have to pay out of pocket, but there are restrictions. The medical flight service provider can only charge the patient if the patient is given 72 hours to analyze the costs. The patient’s consent to use the services in such instances is also important. If the bill goes through, it could change the landscape of the medical flight industry.
Medical flight maintenance is a systematic process and is guided by the industry best practices and rules that govern the air ambulance industry itself. Then, there is a multitude of aircraft models that demand the maintenance of different degrees. The main difference is rotor-wing and fixed-wing medical flight vehicles. The rotor-wing medical flight services are usually deployed in hard-to-reach situations like rescuing a stranded adventure seeker or a victim of a motor vehicle accident on the highways. The fixed-wing medical flight services, on the other hand, come in handy in long haul flights were the patients need to be carried for hundreds or even a thousand miles. Most medical flight companies maintain a mix of both.
Each Medical Flight Demands a Different Kind of Maintenance
Bell, Airbus, Hawker Jets, King Airs, Cessnas, Lear Jets – the list of aircraft that medical flight service providers maintain is quite huge and each comes with a different need. On top of that, there is a myriad of medical equipment that goes into each of these medical flights such as ventilators, intravenous fluid infusion equipment, ventilators, oxygen cylinders, defibrillators, and many more. Added to this is the decontamination and sanitization protocol over the existing ones due to the COVID-19 pandemic. All this translates to a huge amount of maintenance.
Allied Maintenance is Also a Factor
The hangars, training, and accreditations are just a few of the allied maintenances that come along with medical flight services. Each aspect demands specialized skills. In addition, emergency professionals need to be trained on an ongoing basis to keep up with the latest development in the industry.
All these aspects lead to better care and improved outcomes; however, they come at a cost. This is one of the reasons why medical flight charges are pretty steep, and without insurance, affording such care can be quite difficult.
Medical air transport is going to play a crucial role in the days to come as we had predicted earlier. For instance, the doctors in certain rural parts of the United States are predicting a surge in patient intake due to the COVID-19 pandemic. An unsustainable demand for quality medical care is on the horizon. The country today is witnessing a record-breaking increase in infections, and they are not limited to the urban parts of the country. Medical air transport is slated to be of extreme importance to offer patients the care they truly deserve. The industry too seems prepared for this second surge of infections.
Medical Air Transport Industry is Prepared
We know much more about the COVID-19 infection today. Complications that require ventilator support and even lung transplant in some instances have been factored in. The medical air transport vehicles today are equipped to handle such complications. More importantly, medical experts have now gained enough knowledge that they know patients might even need to be sedated throughout the journey, and they are ready for eventualities like these. Such need arises due to the agony that the infection causes in some serious cases.
The Number of Emergency Calls Has Gone Up
During the first wave of infections, people were not very keen on venturing out. However, due to the persistence of the pandemic, it is now economically impossible for people to stay away from their jobs. This has led to an increased number of people getting out of their homes and consequently, there is an increase in road accidents, etc, which demand the services of the medical air transport industry. The fact coupled with the increased number of infections and the shortage of appropriate medical facilities in rural communities has led to an unprecedented demand for air ambulances. The only solace in this scenario is the preparedness of the medical air transport industry, which is very high.