Layperson standard for emergency care is under attack
Hundreds of Americans who recently sought treatment in emergency rooms have had insurance claims denied, leaving them owing thousands of dollars in medical bills. Is this the next health care battle in Iowa? Those with denied claims live in Missouri, Georgia and Kentucky and are insured by Indianapolis-based insurance giant Anthem. In Iowa, the company operates as Amerigroup, which provides Medicaid managed care. A letter, sent last year, spells out Anthem’s new emergency room policy in bold, blue text: “Save the ER for emergencies — Or you’ll be responsible for the cost.” Those with denied claims believe the insurance company is making decisions based on medical diagnosis instead of problems that led to emergency care. A 27-year-old Kentucky woman, for instance, sought care for what she believed to be potentially lethal…
