SURPRISE MEDICAL BILLING POLLING...

SURPRISE MEDICAL BILLING POLLING PRESENTATION

CASMB

October 9, 2019

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C A S M B P O L L I N G P R E S E N T A T I O N

Key Points

Half of voters (50%) have personally or know someone who has been impacted by a surprise medical bill. And, more than one in four 2016 Trump voters (27%) have personally received a surprise medical bill.

Dealing with surprise medical bills is highly stressful. Three in five voters (58%) who have been impacted by surprise medical bills say it was very stressful to deal with a surprise medical bill.

There is widespread, bipartisan agreement that surprise medical bills are a major problem in the U.S. healthcare system.

Voters want their elected officials to protect patients from surprise medical bills. Three in five voters (61%) would be more likely to vote for a candidate in the 2020 election if they promised to protect patients from surprise medical bills.

Half of 2016 Trump voters (50%) say they would be more likely to vote for a candidate in the 2020 election if they promised to protect patients from surprise medical bills.

Voters say it is important surprise medical billing legislation lowers premiums for patients and families. Two in three voters (65%) say it is very important for surprise medical billing legislation to lower health insurance premiums.

This poll was conducted from October 7,2019, among a national sample of 1,990 Registered Voters. The interviews were conducted online and the data were weighted to approximate a target sample of Registered Voters based on age, race/ethnicity, gender, educational attainment, and region. Results from the full survey have a margin of error of plus or minus2 percentage points.

Methodology: 2

7 A large majority of voters (71%) would be frustrated if Congress did not pass legislation to regulate the role of private equity companies in surprise medical billing.

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Personal Experiences With Surprise Medical Billing

Support For Surprise Medical Billing Legislation

Contents


3

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Half of voters (50%) have personally or know someone who has received a surprise medical bill.

22%

28%

54%

78%

72%

46%

Yes, someone I know has received a surprisemedical bill

Yes, I have received a surprise medical bill

No

Selected Not Selected


To the best of your knowledge, have you or someone you know ever received a surprise medical bill? Please select all that apply.


50%

4

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Over one in four 2016 Trump voters (27%) have personally received a surprise medical bill.

26%34%

27%29%

20%100%

24%29%

34%27%29%

27%28%

74%66%

73%71%

80%

76%71%

66%73%71%

73%72%

2016 Vote: Didn't Vote

2016 Vote: Other

2016 Vote: Donald Trump

2016 Vote: Hillary Clinton

Know someone impacted by surp. Med. bills

Personally impacted by surp. med. bills

Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters



To the best of your knowledge, have you or someone you know ever received a surprise medical bill? Please select all that apply. Yes, I have received a surprise medical bill


5

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Among voters who have personally received a surprise medical bill, half received a surprise medical bill in the past 12 months.

50% 50%

Yes No


Have you received a surprise medical bill in the past 12 months?


*Among voters who have personally received by surprise medical bills, n=570

6

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Younger voters are more likely than older voters to say they have received a surprise medical bill in the past 12 months.

62%49%49%

46%56%

42%46%

56%59%

51%49%50%

38%51%51%

54%44%

58%54%

44%41%

49%51%50%


2016 Vote: Other



Know someone impacted by surp. med bills

Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male


Yes No


Have you received a surprise medical bill in the past 12 months?


*Among voters who have personally received by surprise medical bills, n=570

7

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Thirty percent of voters have personally or know someone who has been contacted by a debt collector regarding a surprise medical bill.

15%

15%

72%

85%

85%

28%

Yes, I have been contacted by a debt collectorregarding a surprise medical bill

Yes, someone I know has been contacted by a debtcollector regarding a surprise medical bill

No



To the best of your knowledge, have you or someone you know ever been contacted by a debt collector regarding a surprise medical bill? Please select all that apply.


30%

8

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And, 42% of voters personally impacted by surprise medical billing have been contacted by a debt collector regarding a surprise medical bill.

16%17%16%14%

23%42%

8%17%

22%16%15%16%15%

84%83%84%86%

77%58%

92%83%

78%84%85%84%85%


2016 Vote: Other





Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters



To the best of your knowledge, have you or someone you know ever been contacted by a debt collector regarding a surprise medical bill? Please select all that apply. Yes, I have been contacted by a debt collector regarding a surprise medical bill


9

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Three in five voters (58%) who have received a surprise medical bill say it was very stressful to deal with a surprise medical bill.

32%

8%2%

58%

Very stressful Somewhat stressful Not very stressful Not stressful at all


How stressful, if at all, was it to deal with a surprise medical bill?


*Among voters who have personally or know someone who have received a surprise medical bill, n=921

90% 10%1 0

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Ninety percent of voters personally impacted by surprise medical bills say it was stressful to deal with a surprise medical bill.

27%34%

34%31%30%

34%37%

35%25%

28%27%

37%32%

61% 8% 4%52% 13%55% 8%

61% 6%62% 5%

56% 9%50% 10%

57% 6%66% 8%

61% 8%65% 6%

50% 10%58% 8%


2016 Vote: Other





Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters

Very stressful Somewhat stressful Not very stressful Not stressful at all


How stressful, if at all, was it to deal with a surprise medical bill?


1 1

*Among voters who have personally or know someone who have received a surprise medical bill, n=921

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Contents


1 2

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Three in five voters (62%) think surprise medical bills are a major problem in the U.S. healthcare system.

29%9%

62%

Major problem Minor problem Not a problem


Based on what you know, are surprise medical bills a major problem, minor problem, or not a problem in the U.S. healthcare system?


1 3

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Over half of 2016 Trump voters (55%) say surprise medical bills are a major problem in the U.S. healthcare system.

24%29%

36%24%

19%24%

38%26%

31%23%

27%31%

29%

60% 16%63% 8%

55% 9%70% 6%

80%74%

53% 9%66% 7%

62% 7%64% 14%65% 8%

59% 10%62% 9%


2016 Vote: Other





Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters

Major problem Minor problem Not a problem


Based on what you know, are surprise medical bills a major problem, minor problem, or not a problem in the U.S. healthcare system?


1 4

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Over four in five voters (84%) say addressing surprise medical billing should be at least an important priority for Congress.

52%

4%

32%

12%

An important but not atop priority

A top priority Not too important ofpriority

Should not be done


How much of a priority, if at all, should it be for Congress to address surprise medical billing?


1 5

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Over one in four 2016 Trump voters say addressing surprise medical billing should be a top priority for Congress.

49% 8%56%

52% 4%52%

52%50%

54%51%55%50% 4%52%

52% 4%52% 4%

31% 12%28% 13%27% 17%

39% 8%40% 7%40% 8%

29% 15%33% 13%

31% 11%35% 11%34% 11%

30% 14%32% 12%


2016 Vote: Other





Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters

A top priority An important but not a toppriority

Not too important ofpriority

Should not be done


How much of a priority, if at all, should it be for Congress to address surprise medical billing?


1 6

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Three in five voters (61%) would be more likely to vote for a candidate in the 2020 election if they promised to protect patients from surprise medical bills.

32%36%

1% 2%

29%

Much more likely tovote

Somewhat more likely Neither more norless likely

Somewhat less likelyto vote

Much less likely tovote


Would you be more or less likely to vote for a candidate in the 2020 election if they promised to protect patients from surprise medical bills?


61% 3%1 7

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Half of 2016 Trump voters say they would be more likely to vote for a candidate in the 2020 election if they promised to protect patients from surprise medical bills.

35% 32%35% 36%

27% 46%35% 27%35% 25%

33% 30%29% 42%

31% 38%33% 34%

36% 28%31% 37%33% 34%32% 36%

29%25%

23%37%38%

35%26%28%

31%33%

29%29%29%


2016 Vote: Other





Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters

Much more likely tovote

Somewhat more likely Neither more nor lesslikely

Somewhat less likelyto vote

Much less likely vote


Would you be more or less likely to vote for a candidate in the 2020 election if they promised to protect patients from surprise medical bills?


1 8

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Three in four voters (78%) support Congress passing legislation that would protect patients from surprise medical bills.

32%

18%

2% 1%

46%

Strongly support Somewhat support Neither support noroppose

Somewhat oppose Strongly oppose


Would you support or oppose Congress passing legislation that would protect patients from surprise medical bills?


78% 3%1 9

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A bipartisan majority of voters support Congress passing legislation that would protect patients from surprise medical bills.

30% 24%30% 21%

35% 21%31% 11%30% 11%

30% 12%35% 18%

33% 15%32% 20%

30% 21%31% 18%

34% 18%32% 18%

39% 4%46%

40%57%58%

56%45%

50%46%

44%48%

44%46%


2016 Vote: Other





Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters

Strongly support Somewhat support Neither support noroppose

Somewhat oppose Strongly oppose


Would you support or oppose Congress passing legislation that would protect patients from surprise medical bills?


2 0

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Two in three voters say it is very important for surprise medical billing legislation to accomplish lower health insurance premiums (65%) and protect patients from surprise medical bills when seeking emergency care (64%).

39%

29%

29%

36% 16% 9%

64% 6%

65% 5%

Reduces federal spending on health care

Protects patients from surprise medical bills whenseeking emergency care

Lowers health insurance premiums for patients andfamilies

Very important Somewhat important Not very important Not at all important


Congress is considering legislation to prevent surprise medical bills. How important, if at all, is it that the legislation accomplishes the following?


94%

93%

75%

Total Important

2 1

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And, a plurality of voters say it is most important surprise medical billing legislation to accomplish lower health insurance premiums (47%).

10%

47%43%

Lowers health insurancepremiums for patients and

families

Protects patients fromsurprise medical bills whenseeking emergency care

Reduces federal spending onhealth care


Which of the following is most important for legislation to prevent surprise medical bills to accomplish?


2 2

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A majority of voters (71%) would be frustrated if Congress did not pass legislation to regulate the role of private equity companies in surprise medical billing.

43%

6%

28%23%

Very frustratedExtremely frustrated Not very frustrated Not at all frustrated


As you may know, private equity companies are investment management companies that are composed of funds and capital from investors to directly invest. Many of the surprise medical bills that patients receive are sent by medical groups owned by private equity companies. Private equity companies use surprise medical bills to generate revenue for their investments. How frustrated would you be, if at all, if Congress did not pass legislation to regulate the role of private equity companies in surprise medical billing?


2 3

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Over one-third of voters personally impacted by surprise medical billing (36%) would be extremely frustrated if Congress did not pass legislation to regulate the role of private equity companies in surprise medical billing.

45% 6%45% 9%

40% 8%44% 4%48%43%

45% 4%41% 7%

43% 6%43% 7%

45% 4%40% 9%

43% 6%

24% 25%23% 23%23% 29%

36% 16%33% 16%

36% 17%28% 23%30% 22%

27% 24%26% 24%29% 22%

27% 24%28% 23%


2016 Vote: Other





Age: 65+

Age: 45-64

Age: 35-44

Age: 18-34

Gender: Female

Gender: Male

Registered Voters

Extremely frustrated Very frustrated Not very frustrated Not at all frustrated


As you may know, private equity companies are investment management companies that are composed of funds and capital from investors to directly invest.Many of the surprise medical bills that patients receive are sent by medical groups owned by private equity companies. Private equity companies use surprise medical bills to generate revenue for their investments.How frustrated would you be, if at all, if Congress did not pass legislation to regulate the role of private equity companies in surprise medical billing?


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