Emergency Rooms | WABE 90.1 FM

Emergency Rooms

Ryan Nabulsi / twinlensatl.com

Anthem Blue Cross Blue Shield of Georgia is enacting a radical new policy on emergency room visits to contain costs.

The insurer, which provides the only Affordable Care Act exchange plan in well over half of Georgia counties, says they’ll carefully scrutinize medical records when its members go to the ER and, if it determines that a reasonable person with the same problem wouldn’t have made the decision to head to the hospital, it won’t pay the bill. Georgia hospitals and ER doctors are decrying the move, as are many consumers.

In a Friday, May 6, 2016 photo, LSU medical student Felicia Venable, left, examines a patient as fellow students and medical residents observe during daily rounds at Our Lady of the Lake Regional Medical Center in Baton Rouge, La.
Gerald Herbert / Associated Press

Starting in July, health insurance provider Blue Cross Blue Shield of Georgia will stop covering emergency room visits it deems unnecessary.

And doctors and analysts have a lot to say about it. 

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Blue Cross Blue Shield of Georgia is enacting this policy because it doesn't want people to use the emergency room as their primary health care.  

Azadeh Shahshahani, Legal & Advocacy Director of Project South
Eboni Lemon / WABE

Thursday on "Closer Look with Rose Scott and Jim Burress":

David Goldman / Associated Press

Grady Memorial Hospital in Atlanta has reached a settlement agreement with the U.S. Attorney’s Office over allegations that the hospital violated the Americans with Disabilities Act, according to a press release from the U.S. Department of Justice.

Grady Hospital violated the Americans with Disabilities Act by “failing to ensure effective communication with individuals who are deaf and hard of hearing,” the DOJ said.  

Victoria Stargel / Courtesy of Union University; www.uu.edu

Wednesday on "Closer Look with Rose Scott and Denis O'Hayer":