Managed Care

 

HHS To Provide Guidance About Emergency Care

MANAGED CARE July 1998. © MediMedia USA
Washington Initiatives

HHS To Provide Guidance About Emergency Care

MANAGED CARE July 1998. ©1998 Stezzi Communications
Washington Initiatives

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.

Meetings

2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015