Dr. Thomas Pane posting on Kevin MD (sort of a thee going today):
The essence of the problem is not the emergency department’s behavior, the out-of-network status of the doctor, or the insurance company’s payment policy.
The problem is that under EMTALA, care is mandated but payment is not, and no cost discussions are permitted. Hospitals and doctors know this, but all too often nothing is done to plan for the inevitable misunderstandings.
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