The Reality of Managed "Care"

wolf · 05-23-2007, 02:18 AM

Speaking as someone who spends an unfortunate amount of my work day arguing with insurance companies, it's not care that's managed, it's cost.

Incidentally, ANY hospital can override the insurance company's decision regarding treatment for a patient.

I do it all the time.

The L.A. Times story above seems to document a pretty clear case of what's called an EMTALA violation. Even if she was seen there three times in three days, the hospital has an obligation to provide an evaluation and "necessary stabilizing treatment."

05-23-2007, 02:18 AM	#9
wolf lobber of scimitars Join Date: Jul 2001 Location: Phila Burbs Posts: 20,774	Speaking as someone who spends an unfortunate amount of my work day arguing with insurance companies, it's not care that's managed, it's cost. Incidentally, ANY hospital can override the insurance company's decision regarding treatment for a patient. I do it all the time. The L.A. Times story above seems to document a pretty clear case of what's called an EMTALA violation. Even if she was seen there three times in three days, the hospital has an obligation to provide an evaluation and "necessary stabilizing treatment." __________________ wolf eht htiw og "Conspiracies are the norm, not the exception." --G. Edward Griffin The Creature from Jekyll Island High Priestess of the Church of the Whale Penis Last edited by xoxoxoBruce; 05-23-2007 at 06:19 PM. Reason: I didn't edit this post, just hit the button by mistake

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