![]() ![]() ![]() Beginning in July, Kentucky will charge Medicaid enrollees $20 for their first “inappropriate” emergency room visit, $50 for their second, and $75 for their third.Īll of these policies suggest a new and controversial strategy for reining in health care costs: asking patients to play a larger role in assessing their own medical condition - or pay a steep price. Indiana implemented this type of policy in 2015, and the Trump administration recently approved a request from Kentucky to do the same. The Anthem letter goes on to list “stroke, heart attack, and severe bleeding” as examples of medical conditions for which ER use would be acceptable.Īnthem’s new policy mirrors similar recent developments in state Medicaid programs, which increasingly ask enrollees to pay a higher price for emergency room trips that the state determines to be non-urgent. when a health problem is recent and severe enough that it needs immediate care.” “Emergency room services can be approved. “We cannot approve benefits for your recent visit to the emergency room (ER) for pelvic pain,” the letter that Cloyd received from Anthem stated, which she shared with Vox. The policy has so far rolled out in four states: Georgia, Indiana, Missouri, and Kentucky. Share your bill here to help change that. ![]()
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