Health Payer Preventive Care, ED Denials Hamper Patient Care Access

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Payer Engagement HIT —

Health payers are denying coverage for preventive care screenings and emergency department (ED) care at a high rate, according to patient advocacy group Doctor-Patient Rights Project (DPRP). In doing so, payers are hindering patient care access.

In a second iteration of its Access Denied reports, DPRP outlined how health payers are denying patient access to preventive screenings and ED visits. Specifically, the report notes where payers deny coverage to preventive screenings the payer says are not medically necessary or ED visits for diagnoses that are not deemed emergencies.

Read more here.