“Unnecessary use of the emergency room costs nearly $ 32 billion a year, boosting medical costs for everyone,” the company said in a statement Monday. “We are taking steps to make care more affordable and encourage people who do not have emergency medical care to seek treatment in a more appropriate environment, such as emergency medical centers. If a person receives care in the emergency room in question, such as Pink Eye, we will refund to the emergency facility according to the member’s benefits plan. “
During the pandemic, and during the months of blockade, non-Covid care fell, from knee surgery to mammograms and visits to the emergency room. Some experts were worried that lack of care might worsen the patient’s condition, while others have evidence that drop-off does not require some care, such as screening. Insisted that it might offer.
United’s first decision was seen by some critics as a message to the hospital.
Jonathan Corstad, a health economist at the University of California, Berkeley, said:
This is the latest example of an insurer clashing with doctors and hospitals, and Michael R., a former United executive and now vice president of USI, an insurance broker that helps companies find insurance. Tarpin says. Most recently, United’s sparring with anesthesiologists Proceedings From a significant doctor-owned practice backed by private-equity investors, hospitals complain that United has adopted other policies that make it difficult for patients to cover their care.
Some consumers Already fighting Insurers and some providers have urged the federal government to remind participants that it is illegal to charge patients for these costs over the Covid vaccine claim.
There is increasing evidence that some people who did not go to the emergency room during the pandemic should seek care. Experts pointed out that increased mortality from heart disease, diabetes and other illnesses may indicate that people are delaying the care they need. A Recent research A health problem study by researchers at the MIT Sloan School of Business, working with Boston Emergency Medical Services, found evidence of an increase in heart attacks that occurred outside the hospital, especially in low-income areas.
Mr Pollack said such policies would be problematic, even after the pandemic. “There is no justification for these restrictions now or after a public health emergency,” he said.
UnitedHealthcare may refuse coverage of emergency visits
Source link UnitedHealthcare may refuse coverage of emergency visits