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Newsletter Article


Insurers Spark Blowback by Reducing Emergency Room Coverage

Health plans intent on driving down costs are zeroing in on emergency room visits — one of the biggest drivers of medical inflation but a category of care that's seldom been subject to denials. Anthem, the country’s largest Blue Cross Blue Shield plan, shook the market last year by refusing to pay for some ER visits it deemed unnecessary, triggering heated battles with hospitals and doctors and fueling a broader debate over whether patients can find less expensive settings without putting their health at risk. (Politco by Renuka Rayasam & Paul Demko)

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