What’s Wrong With Denial of Coverage for ER Care ?
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Most health insurance policies cover ER care, with a caveat: the care must be for a medical emergency, or at least for the purpose of making sure the patient’s symptoms don’t require emergency care. If you go to the emergency … Continue reading

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Anthem: Rash? Don’t Go To The ER
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Anthem:  Rash?  Don't Go To The ER

According to the St. Louis Post Dispatch, in a recent letter to policy holders in Missouri, Anthem advised that: “Should members choose to receive non-emergency care in the ED [emergency department], they will be responsible for the charges incurred,” and that … Continue reading

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Overtesting: Where Do We Go From Here?
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Overtesting, how did we get here?

I heard recently about a case of over-testing that seems so typical nowadays that it makes me wonder not just how we got here, but how we go back.   A 9-year-old child comes to the ED with abdominal pain and … Continue reading

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Mandating Coverage for Emergency Care
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Gutting Mandated Health Plan Benefits

The federal mandate that hospital emergency departments (EDs) and the physicians who staff these departments provide medical screening and emergency care to all people who present to the ED for care (the Emergency Medical Treatment and Active Labor Act) ensures … Continue reading

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Emergency Care: Guaranteed Coverage or Guaranteed Access
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EMTALA is not Health Insurance Coverage

In a recent interview on CNN’s New Day, Rep. Mark Meadows (R-NC) responded to a comment from host Alisyn Camerota that ‘access and coverage were not the same thing’ during a discussion about replacing the ACA. He said: “Well, we’ve … Continue reading

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