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There is a growing outcry on Capitol Hill over surprise emergency room bills — and now emergency room doctors themselves are rolling out a plan to do something about it.

Here’s the basic problem: As Vox and others have reported, in-network emergency rooms are often staffed by out-of-network doctors. This can lead to hefty bills for patients who think their providers are covered.

One patient I wrote about, for example, ended up with a $7,924 bill for emergency jaw surgery even though he was seen at an in-network hospital. The surgeon who saw him, it turns out, wasn’t...

As legislators on Capitol Hill prepare to address the surprise billing issues that are affecting millions of patients across the country, the American College of Emergency Physicians (ACEP) today released a framework of proposed solutions to protect emergency patients.  

"By oath and by law, emergency physicians will treat any patient, regardless of their ability to pay," said Vidor Friedman, MD, FACEP, president of ACEP. "In fact, that federal law, the Emergency Medicine Treatment and Labor Act (EMTALA) actually forbids emergency care providers from discussing...

In 2017, insurance company Anthem, Inc. began implementing new medical coverage policies that affect emergency services and medical imaging. As to the former, Anthem’s new policy allows it to reduce coverage for emergency services provided if Anthem later determines that the situation giving rise to the services was not, after all, an emergency. As to the latter, Anthem is denying certain claims for medical imaging performed at hospitals rather than at clinics. In March of this year, Senators Claire McCaskill (D-Mo.) and Ben Cardin (D-Md.) sent a letter to the Depa...

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