Monthly Archives: July 2018

Physician Groups Sue Anthem in Georgia Over ED Policy

In an effort to compel Anthem’s Blue Cross Blue Shield of Georgia to rescind its “controversial and dangerous emergency care policy” that retroactively denies coverage for emergency patients, the American College of Emergency Physicians (ACEP) and Medical Association of Georgia (MAG) have filed suit in the U.S. District Court for the Northern District of Georgia. The policy, implemented by Anthem in Georgia and five other states over the past year, leaves patients who sought emergency care responsible for paying their entire bills if Anthem determines, after retrospective review, that their diagnoses were not truly emergencies. Along with Georgia, the other states include Indiana, Kentucky, Missouri, New Hampshire and Ohio. Continue reading