Politics & policy

Insight into federal and state health care legislation & CMS regulation

HHS To Provide Guidance About Emergency Care

The Office of the Inspector General will provide guidance to managed care organizations and hospitals about appropriate emergency treatment and screening. OIG is concerned about the extent to which managed care organizations fail to provide or authorize emergency treatment.

HHS is annoyed about reports that a growing number of hospitals are refusing to treat emergency patients arriving through — or just outside — their doors. In Chicago recently, a 15-year-old shooting victim was refused treatment even though he was yards from an emergency room. ER staffers were uncertain about hospital policies governing treatment of patients outside its doors. HCFA responded by reviewing the hospital's ER treatment policies and threatening to cancel its Medicare eligibility if policies providing for care on its grounds — inside or outside its walls — were not put in place, regardless of the procedures of patients' or the hospital's managed care plans.

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

  • Doug Jones and the ACA, Epic misses a White House meeting, and man caves for man-flu sufferers
  • CVS-Aetna deal may trigger merger mania, Johns Hopkins criticized for lack of asthma prevention, & Columbia sees free-ride future for all of its med students

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.


2018 Year in Preview
By Susan Ladika
2018 Year in Preview
By Thomas Reinke