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Anthem Blue Cross Blue Shield of Georgia drops coverage for non-emergency ER visits; medical labs could see drop in ER clinical lab test orders

from Dark Daily

Here's a groundbreaking way payers are keeping healthcare costs down: Anthem Blue Cross and Blue Shield of Georgia sent letters to its members in May informing them that they will no longer be reimbursed by the insurer for "non-emergency" related services obtained in emergency rooms. Pathology groups and medical laboratory leaders, will want to monitor and potentially respond to this important emergency coverage development. Hospital-based medical laboratories receive high volumes of test orders from the ER. Any decline in ER visits from a payer policy like this will have staffing and budget implications for hospital labs. more

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