Emergency room doctors say that they're going to get shafted by new federal rules aimed at reining in out-of-pocket costs for patients.
The rules, part of the Patient Protection and Affordable Care Act, require insurers to pick up a "reasonable" portion of the cost of emergency medical services when their members receive treatment at an out-of-network hospital.
But Kaiser Health News reports that the American College of Emergency Physicians and the Emergency Department Practice Management Association insist that the definition of "reasonable" allows insurers far too much room to avoid paying hospitals what they deserve. And as a result, they argue, they are forced to push more costs onto the consumer.
Recommended For You
Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.
Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
Already have an account? Sign In Now
© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.
