The Division of Politics and Economics invites the CGU community to attend this week’s Tuesday Lunch Talk featuring Erin Duffy, PhD, postdoctoral fellow at the Leonard D. Schaeffer Center for Health Policy and Economics at the University of Southern California and an adjunct policy researcher at RAND. Lunch will be provided.
Erin Duffy is a postdoctoral fellow at the Leonard D. Schaeffer Center for Health Policy and Economics at the University of Southern California and an adjunct policy researcher at RAND. Her research focuses on competition in health care markets and insurer and hospital behaviors. She holds a PhD in policy analysis from Pardee RAND Graduate School, an MPH in biostatistics and epidemiology from Boston University, and a BA in religion from Wellesley College.
Talk Title: Surprise Medical Bills: When The Hospital Is In Your Insurance Network, But — Surprise! — The Doctor Is Not
Health care facilities, physicians, and other professionals providing care within facilities negotiate separately with health plans and do not always establish in-network payment arrangements with the same insurers. Thus, patients treated at in-network facilities can involuntarily receive services from out-of-network professionals and face unexpected bills. Duffy’s research seeks to quantify the prevalence and magnitude of surprise billing, understand the market dynamics that drive the phenomenon, and contribute to policy development and evaluation. In this presentation, she will explain when, where, and why surprise medical billing occurs. She will also describe current state policies that address surprise billing and the federal policy approaches that are currently being considered by the U.S. Congress.