14min chapter

Relentless Health Value cover image

EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis

Relentless Health Value

CHAPTER

Emergency Room Expenses Unveiled

This chapter explores the striking statistics of emergency room (ER) visits and their financial implications for health plan sponsors. It addresses the increasing costs and volumes of ER visits, the impact of coding practices like upcoding on healthcare expenses, and the challenges faced by patients with high-deductible plans. Additionally, the discussion highlights legislative changes and the ongoing trends in healthcare spending, revealing the complexities surrounding ER pricing and access to alternative care options.

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