We all know Urgent Care and ER visits are typically a far cry from urgent matters (saw an advertisement for one recently where they were advertising their online check-in process where a woman was gleefully checking in at home). So it is no wonder the market (insurers) has responded. Never thought I'd say this, but Vox appears to be running an interesting series on ER care and the shenanigans surrounding it:
https://www.vox.com/policy-and-politics/2018/1/29/16906558/anthem-emergency-room-coverage-denials-inappropriate
I agree with charging people higher copay for ER use to deter frivolous use (especially for Medicaid), but it seems absurd to make patients pay the whole bill if the diagnosis doesn't meet a specific criteria. Seems like a real battle between Anthem and the ERs that I can't see sticking. These idiotic insurers are undercutting themselves with these policies, as they make people want to flee into the big, fluffy arms of Uncle Sam. So my question is how widespread is this? Curious if this affects consultants brought in to see the patients as well. If it does stick to any degree or in a modified form I wonder what the effect on ER/UC volumes will be...
https://www.vox.com/policy-and-politics/2018/1/29/16906558/anthem-emergency-room-coverage-denials-inappropriate
I agree with charging people higher copay for ER use to deter frivolous use (especially for Medicaid), but it seems absurd to make patients pay the whole bill if the diagnosis doesn't meet a specific criteria. Seems like a real battle between Anthem and the ERs that I can't see sticking. These idiotic insurers are undercutting themselves with these policies, as they make people want to flee into the big, fluffy arms of Uncle Sam. So my question is how widespread is this? Curious if this affects consultants brought in to see the patients as well. If it does stick to any degree or in a modified form I wonder what the effect on ER/UC volumes will be...
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