Category: Government Regulations

New law seeks to prevent surprise medical bills from freestanding ERs

Patients who visit freestanding emergency rooms in Texas should now have a better idea of whether their health insurance will cover the bill. A new state law that took effect Sept. 1 requires the facilities — which resemble urgent care clinics but

Posted in Freestanding ER, Government Regulations, Industry Updates, TX Hospitals

After single payer failed, Vermont embarks on a big health care experiment – The Washington Post

Doug Greenwood lifted his shirt to let his doctor probe his belly, scarred from past surgeries, for tender spots. Searing abdominal pain had landed Greenwood in the emergency room a few weeks earlier, and he’d come for a follow-up visit

Posted in Government Regulations, Industry Updates

In Ontario, Paramedics linking with ER docs could mean treatment at home

When Simcoe County Paramedic Services director Andrew Robert looks at your living room, he can see a virtual emergency room. And under the advice from the Sunnybrook Centre for Prehospital Medicine’s Dr. Paul Hoogeveen, the county’s head paramedic is asking

Posted in Government Regulations, Industry Updates

Medicaid expansion under Obamacare had little effect on ER visits

A new study at Johns Hopkins found that the expansion of Medicaid under the Affordable Care Act had little effect on the number of emergency room visits. Researchers at Johns Hopkins School of Medicine analyzed the ACA Medicaid expansion in 2014 in

Posted in Government Regulations, Industry Updates

CMS proposes Quality Payment Program rule for 2018 

The Centers for Medicare and Medicaid Services has proposed a new rule for its Quality Payment Program in an effort to simplify reporting requirements with updates for the second and future years of the program. In October 2016, CMS published

Posted in Government Regulations, Industry Updates

Gov. Greg Abbott pushes back announcement on Texas special session | The Texas Tribune

Gov. Greg Abbott‘s announcement on whether he will call a special session is not expected to happen before next week. On Monday, Abbott said he would share his verdict “later this week.” On Friday, his office said he would not

Posted in Government Regulations, Industry Updates

Blue Cross in Alabama says it won’t quit paying for some ER visits |

Starting in July, Blue Cross Blue Shield of Georgia will stop covering emergency room visits that the health insurance provider deems unnecessary. Don’t expect Alabama to follow suit, however. The Georgia Blue Cross policy is an effort to keep people

Posted in ER Billing, Government Regulations, Industry Updates

Blue Cross Blue Shield Wants People in Georgia to Self-Diagnose Before Heading to the Emergency Room

BLUE CROSS BLUE SHIELD is quietly telling its individual market patients in Georgia that it will stop reimbursing some emergency room visits. The revelation comes from the Atlanta Journal-Constitution, which reports that Georgians are getting letters warning them that the insurer will no longer

Posted in ER Billing, Government Regulations, Industry Updates

A big health insurer is planning to punish patients for ‘unnecessary’ ER visits

Anthem is the nation’s second-largest health insurer, with thousands of medical professionals on its payroll. Yet its Blue Cross and Blue Shield of Georgia subsidiary has just informed its members that if they show up at the emergency room with

Posted in ER Billing, Government Regulations, Industry Updates

Amarillo’s Four Price pushes 10 health care bills through Legislature

State Rep. Four Price is pleased with how Texas’ 85th Legislative Session has gone in terms of health care for the state’s residents. Ten health care- related bills authored or sponsored by the Amarillo Republican have made their way to

Posted in Government Regulations, Industry Updates