Alexandra Wilson Pecci is an editor for HealthLeaders.
Nearly a week after UnitedHealthcare backed off its decision to retroactively deny emergency care claims, provider groups are still hitting back.
The research confirms what has been anecdotally reported for months: That hospitals are choosing which parts of the rule to comply with, and that partial compliance is common.
"Patients are not medical experts and should not be expected to self-diagnose during what they believe is a medical emergency," writes Richard J. Pollack, president and CEO of AHA.
The American College of Emergency Physicians said that it "firmly believes that the new policy is in direct violation of the federal Prudent Layperson Standard."
PwC's Health Research Institute has released its annual medical cost trend report, which forecasts a 6.5% medical cost trend in 2022.
YiDing Yu, MD, chief medical officer at Olive, provides an overview of how AI is successfully being used in the revenue cycle.
The new policy will apply to "commercial fully insured ED facility claims in many states for dates of service on July 1, 2021, or later.
The new VisitPay survey also showed that more than one-third of patients said they're more worried about the financial burdens associated with COVID-19 than actually becoming sick.
The average national denials rate is between 6% and 13%, but many organizations are nearing the denials "danger zone" of 10% of higher.
Without payer cost-sharing waivers, people with job-related or self-purchased insurance could face bills of about $3,800 for a COVID-19 hospitalization.