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Analysis of a Commercial Insurance Policy to Deny Coverage for Emergency Department Visits With Nonemergent Diagnoses

IMPORTANCE: Insurers have increasingly adopted policies to reduce emergency department (ED) visits that they consider unnecessary. One common approach is to retrospectively deny coverage if the ED discharge diagnosis is determined by the insurer to be nonemergent. OBJECTIVE: To characterize ED visit...

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Detalles Bibliográficos
Autores principales: Chou, Shih-Chuan, Gondi, Suhas, Baker, Olesya, Venkatesh, Arjun K., Schuur, Jeremiah D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Medical Association 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324426/
https://www.ncbi.nlm.nih.gov/pubmed/30646254
http://dx.doi.org/10.1001/jamanetworkopen.2018.3731