Relief for hospitals – Insurance must pay for EMTALA care


The final Senate bill adds a provision that should give hospitals relief from a problem that has irritated them for decades.

A federal law called the Emergency Medical Treatment and Labor Act (“EMTALA”) has since 1985 required virtually all American hospitals to provide basic assessment and treatment services to deal with true medical emergencies regardless of whether the patient is able to pay for care.  The problem?  Insurance companies often wouldn’t pay for these services when provided to their enrollees because the hospital — barred by law from doing so — didn’t wait to obtain a prior authorization from the insurance company. Continue reading ‘Relief for hospitals – Insurance must pay for EMTALA care’

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