Anthem Blue Cross Blue Shield of Georgia is enacting a radical new policy on emergency room visits to contain costs.
The insurer, which provides the only Affordable Care Act exchange plan in well over half of Georgia counties, says they’ll carefully scrutinize medical records when its members go to the ER and, if it determines that a reasonable person with the same problem wouldn’t have made the decision to head to the hospital, it won’t pay the bill. Georgia hospitals and ER doctors are decrying the move, as are many consumers.
Read this story now for free
To continue reading, sign up for our newsletter and get unlimited access to WABE.org
You can select your preferences for news and local content. We will never share your email address. Learn how your newsletter sign-up will support WABE and Public Media