Category: Government Regulations

Anthem ER policy could deny 1 in 6 visits if universally adopted, JAMA study warns 

Anthem ER policy could deny 1 in 6 visits if universally adopted, JAMA study warns Dive Brief: Anthem Blue Cross Blue Shield’s controversial policy that denies emergency coverage based on a patient’s diagnosis after a visit to the ER, would

New surprise bill lobbying from ER docs

New surprise bill lobbying from ER docs Two weeks after a handful of senators introduced legislation to curtail surprise medical bills, the American College of Emergency Physicians hired new lobbyists to handle the issue, Axios’ Bob Herman notes. Driving the news: ACEP, the

Medical Liability Reforms Key to Texas Patient Access According to Texas Alliance for Patient Access

Today the Texas health care community recognizes the fifteenth anniversary of Texas’ landmark medical liability reforms. Passed by the voters in 2003, Prop. 12, created a constitutional amendment affirming Texas’ non-economic damage cap in medical liability lawsuits. The cap has been a magnet in attracting a

Anthem Denials of Emergency Room CT Scans and MRIs; Patients Sent to Clinics

Washington, DCIn July 2018, the American College of Emergency Physicians filed an insurance lawsuit against Anthem Blue Cross Blue Shield over the insurer’s new policy of denying emergency room coverage after the fact. As a subpart of the strategy, Anthem refuses claims

Texas ruling on $11,000 ER bill may have long-lasting effects, experts say

The health care industry is closely watching a recent decision by the Texas Supreme Court that some say could have broader implications on how hospitals and health insurers negotiate their rates. The court sided with an uninsured woman who was

BCBS Controversial ER Claims Process Begins – Houston

The largest health insurer in Texas changed an ER claims review process Monday. Blue Cross Blue Shield of Texas said its 500,000 HMO members may have to pay the entire cost of an out-of-network emergency room bill, if they go for

Doctors prepare for medical issues surrounding legal pot

It’s a question that bore examining. What might happen when the recreational use of marijuana for adults over the age of 21 suddenly became legal on July 1? Would hospitals see an uptick in emergency room visits, as people could

Has marijuana caused emergency room visits to skyrocket? | PunditFact

Advocates against marijuana legalization frequently cite increased marijuana-related hospitalizations as proof the drug should not be sold commercially. But how much of a threat does cannabis actually present? Since retiring from Congress in 2010, Patrick J. Kennedy has been speaking

New bill could help Austin patients avoid surprise medical bills after visiting freestanding ERs

Over $800 in out-of-pocket expenses was not what area resident Lance Kubiak expected to pay after visiting a freestanding emergency department, or FSED, late one night last year. Kubiak, who has employer-provided health insurance, visited the FSED after experiencing an

House passes comprehensive bill to combat growing opioid epidemic – ABC News

The House of Representatives passed a bipartisan, comprehensive bill Friday that aims at curbing the country’s growing opioid epidemic. By a vote of 396-14, the House passed H.R. 6, the SUPPORT for Patients Communities Act, which is the collective product

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