Emergency room visits can be necessary but also costly financially. This article looks at the cost incurred by average Americans at the ER but also many of the issues Americans face against insurance companies who refuse to pay for the care
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The article, As an Insurer Resists Paying for ‘Avoidable’ E.R. Visits, Patients and Doctors Push Bacl, looks at some of these issues and also connects you to other resources to help understand the nature of the ER
“Jim Burton was lifting a box in his garage last August when he felt a jolt in his back.
“It dropped me to my knees instantly,” he said. He thought he’d slipped a disk. His friend, an emergency medical technician, urged him to go to the hospital.
At the emergency room, Mr. Burton, a 37-year-old resident of Lexington, Ky., was found to have a back sprain, with no signs of other serious injury, and was sent home.
He soon got another surprise. His health insurer, Anthem, refused to pay medical bills totaling $1,722, saying his care in the emergency room had not been needed “right away to avoid a serious risk to health.”
To rein in emergency medicine costs, Anthem is reviving an old, contentious tactic: pushing back on patients who visit the emergency room for ailments deemed minor.
Anthem denied thousands of claims last year under its “avoidable E.R. program,” according to a sample of emergency room bills analyzed by the American College of Emergency Physicians. The program, which Anthem has been rolling out in a handful of states in recent years, reviews claims based on the final diagnosis of patients.”
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