Commercial Insurer Accountability
The American College of Emergency Physicians and Medical Association of Georgia this week filed a federal lawsuit seeking to compel Anthem's Blue Cross Blue Shield of Georgia to rescind a policy that retroactively denies coverage for emergency patients.
Hospitals continue to have serious concerns that Anthem's coverage policies for outpatient imaging and emergency care services are detrimental to patients, diminishing access to care and driving care location based on the lowest cost provider, AHA and other hospitals groups told the insurer today.
AHA, others express concerns that Anthem’s coverage policies for outpatient imaging and emergency care services are detrimental to patients, diminishing access to care and driving care
location based on the lowest cost provider.
Anthem last week notified network providers in Missouri, Kentucky and Georgia about changes to its program to prevent “avoidable” emergency department visits.