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Hospital lobby urges UnitedHealthcare to reverse 'dangerous' ER policy


Published June 9, 2021
Dive Brief:
The American Hospital Association sent a letter to the CEO of the nation s largest commercial insurer, UnitedHealthcare, asking the payer to abandon a new ER policy that could potentially deny coverage if a visit is later deemed a non-emergency.
AHA called the policy dangerous and said it will lead to a chilling effect, as patients may avoid the ER over fears a visit may not be covered.
The group did not explicitly say UnitedHealthcare is not following the law, but implied as much. This is exactly why federal law requires insurers to adhere to the prudent layperson standard, which prohibits insurers from putting up coverage roadblocks to emergency services, AHA said in the Tuesday letter to UnitedHealthcare CEO Brian Thompsom. ....

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