OCTOBER 25, 2018
Anthem's 'retrospective denial' policy for emergency care puts patients at risk: study (mentions MAG)
Fierce Healthcare
Anthem's policy of "retrospectively denying" emergency department claims has sustained a barrage of attacks from providers, and a new study is giving further weight to those criticisms with evidence that the policy risks discouraging all ER visits, even true emergencies. READ MORE
Anthem ER policy could deny 1 in 6 visits if universally adopted, JAMA study warns (mentions MAG)
Healthcare Dive
As healthcare costs rise, insurers continue to seek ways to stem payments for emergency care, which hit their pockets the hardest. Anthem's approach, taken in the summer of 2017, is to disincentivize what it deems to be unnecessary ER visits by denying coverage for patients with non-emergent ER discharge diagnoses. | READ MORE
Study finds new health care policies put more patients at risk of a claim denial (mentions MAG)
Consumer Affairs
A change in emergency coverage announced by Anthem Blue Cross Blue Shield earlier this year means fewer visits to the emergency room are covered. | READ MORE
More transparency urged on tax donation program for rural hospitals
Georgia Health News
Tens of millions of dollars in business and individual donations have gone to Georgia rural hospitals this year, thanks to a popular state tax credit program. | READ MORE
2019 CPT codes offer new paths to payment for digital medicine
AMA Wire
Reflecting the reality that physicians and their staff spend an increasing amount of time engaging with technology to enhance and improve patient care, the 2019 Current Procedural Terminology (CPT®) code set that takes effect Jan. 1 provides health professionals the codes they need to get paid for emerging services. | READ MORE
Medicaid expansion becomes key issue in GOP-leaning states
Associated Press
For nearly a decade, opposition to former President Barack Obama’s health care law has been a winning message for Nebraska Republicans. | READ MORE
Medicare’s telemedicine proposal is unpopular with physicians
U.S. News & World Report
The Trump administration wants Medicare for the first time to embrace telemedicine across the country by paying doctors $14 for a five-minute "check-in" phone call with their patients. | READ MORE
AMA president: It's still 'no' to single payer
MedPage Today
A single-payer healthcare system in the U.S. would break her practice, said the president of the American Medical Association (AMA), who argued that Medicare and other government programs as currently structured simply don't pay enough. | READ MORE
For EHR reporting program, cost transparency is top of mind
Modern Healthcare
Electronic health record software costs hospitals and health systems millions and even billions, often eating into their bottoms lines. | READ MORE
CDC should stick with its stand on pneumococcal vaccine for seniors
Georgia Health News
Imagine a potentially deadly bacteria that infects about 1 million Americans every year. Vaccines exist to prevent it, but the CDC is potentially considering changing an important recommendation helping older people to get vaccinated against it. | READ MORE
Parents plan unsafe chickenpox party. One parent 'swamped with requests' to share disease
USA Today
A group of Boulder, Colorado, parents are sharing with each other the very best way to assure their children contract chickenpox. | READ MORE
4 keys for a physician’s first employment contract
AMA Wire
You aced medical school. You have survived residency and perhaps fellowship. Next comes another difficult test: deciphering your first physician employment contract. | READ MORE
Ballot measure would help housing for people with mental illness
Georgia Health News
At the end of the Georgia ballot this year is a referendum that, if approved, would help nonprofits provide permanent housing to homeless people with mental illness. | READ MORE
Advertise with MAG: Please contact Tom Kornegay at 678.303.9260 or tkornegay@mag.org if you are interested in running an ad in the Georgia Pulse, which is a weekly compilation of media reports that are related to health care and the medical profession. It is sent to more than 6,000 physicians in Georgia.
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