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UnitedHealthcare postpones policy to more heavily scrutinize payments for ER visits after backlash – Denver, Colorado

Denver, Colorado 2021-06-10 20:21:51 –

Denver — within 24 hours The announcement, UnitedHealthcare has postponed its policy of scrutinizing visits to emergency rooms. The postponement has come after a fierce backlash from medical advocates who claim that this policy may have a chilling effect on patients using emergency care because of legitimate concerns.

“We have decided to postpone the implementation. Based on feedback from our provider partners and discussions with the medical community, we will postpone the implementation of the emergency department policy at least until the end of the national public health emergency. The company told Denver 7 in a statement.

The policy, which was originally scheduled to come into effect in July, will crack down on “non-urgent” visits to the emergency room. Avoidable visits cost the medical industry about $ 32 billion annually, according to a 2019 survey.

A letter from UnitedHealthcare to the hospital, “A claim that is determined to be non-urgent will have no or limited coverage according to the member’s coverage certificate.” “This enhanced feature applies to claims for fully insured (emergency department) commercial facilities in many states for service dates after July 1, 2021.”

The date of July 1st has been postponed by UHC. “We will use this time to continue to educate consumers, customers and providers about new policies and ensure that people have access to the right service sites for non-emergency needs.” I am.

However, some supporters say the policy should be rejected altogether.

“It’s safe for patients to get a short grace, but United doesn’t get rid of this dangerous policy, it just delays it,” Laura Worcester, director of public relations at the American Emergency Medical College, said in a statement. It was. .. “Medical emergencies will continue to occur beyond the pandemic.”

The American Hospital Association has similar concerns and is calling for a reversal of policy.

“If enacted, this policy could have a chilling effect on patients seeking emergency services and have disastrous consequences for their health,” said Rick Pollack, president of the American Hospital Association, in a statement. “Patients need to be confident in seeking the emergency medical care they need without worrying about their compensation being denied.”

Patient proponents have stated that this policy could retroactively revoke coverage for medical procedures that UnitedHealthcare deems unnecessary.

Adam Fox, Deputy Director of Colorado, said: Consumer Health Initiative. “It’s not a fair assumption.”

UnitedHealthcare has not disclosed a specific date on which the policy will take effect, only stating “at least until the end of the national public health emergency.”



UnitedHealthcare postpones policy to more heavily scrutinize payments for ER visits after backlash Source link UnitedHealthcare postpones policy to more heavily scrutinize payments for ER visits after backlash

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