Advocacy

Anthem Updates


POSTED IN: Advocacy,

The MOCEP Board has been hard at work pushing back against Anthem and their plan to retroactively determine what is and what is not an emergency. This includes working with state legislators on a legislative fix, testifying in Jefferson City, and holding multiple meetings with them and the Missouri Hospital Association over the last few weeks.

Both the House Insurance Policy Committee and Senate Health and Pensions Committee held hearings last week about Anthem. This included reviewing HB 2225 sponsored by Representative Mike Henderson and SB 828 sponsored by Senator Bob Onder, MD. The bills are identical and would require review of the charts by a board certified emergency physician prior to declining payment. Additionally, the insurance company would have to pay the physician and then determine if they wanted to try to collect the payment from the patient.

We have a meeting scheduled with Anthem this week and will provide an update once we have more to tell.