Anthem: Rash? Don’t Go To The ER
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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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Emergency Care: Guaranteed Coverage or Guaranteed Access
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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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Correction: WA State DHS Still Planning on Jumping into the Abyss
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Just got this email from CMS: Hi Dr. Riner – it’s me again.  Apparently the information we received indicating that WA was postponing their April 1 prohibition of “non-emergent” services in the ER was wrong.  The State is still moving … Continue reading

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News Flash: WA DHS Steps Back from the Abyss on ER Care
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News Flash:  According to an Acting Deputy Director at CMS, Melissa Harris,  CMS was “notified yesterday by our Seattle Regional Office that Washington has decided not to implement their ER payment prohibition on “non-emergent” conditions on April 1.  They are … Continue reading

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You’d Better Be Dead or Dying: The New Definition for a Medical Emergency
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The recent budget crisis in many state Medicaid programs has led the directors of these health care programs for the poor to cast about for ways to cut their costs, and many have landed on a ‘solution’ that puts lives … Continue reading

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