New health insurer policy may mean you pay for your ER visit [Reuters (UK)]
Anthem, Inc. (ANTM)
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Source: Reuters
New health insurer policy may mean you pay for your ER visit | Reuters 6 Min Read (Reuters Health) - While symptoms like chest or belly pain might reasonably drive you to the emergency room with worries about a heart attack or appendicitis, your insurance company might decide not to pay if it turns out your fears were unfounded, a new study suggests. With the price of emergency room care going up, U.S. insurance companies have been looking for ways to contain the costs, sometimes by refusing to pay for visits that turn out not to have been emergencies after all. The new analysis shows that the criteria used by one large insurer, if expanded nationally, could result in denial of payment for nearly 16 percent of ER visits, even though these patients may have the same symptoms when they get to the ER as actual emergency cases, researchers report in JAMA Network Open. While patients do need to be discouraged from using the emergency room for primary care, “they shouldn’t have to think, ‘i
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