Reimbursement
The change, said Express Scripts, was made in the spirit of "greater transparency" and was not intended to alter reimbursement.
For providers, this means that adolescent suicide attempts may account for a statistically significant spike in ED utilization.
Physicians' earnings are on the rise, but the coronavirus has had a dampening effect, and many practices are struggling.
HIMSS21
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Pressure from industry groups caused the insurer to balk, though the policy is still slated to take effect when the pandemic ends.
The AHA said retroactive denial of coverage for emergency-level care would put patients' health in jeopardy.
The return of deferred care will increase utilization and health spending, as will investment in new technologies.
The policy is an attempt to curb healthcare costs, but some providers are worried it could lead to lower reimbursement.
The groups said the move is imperative to ensure health costs are captured adequately and premiums remain stable.