Dr Eric Forsthoefel: Medical Insurance Companies should not pay for Emergency Room Visits for Non-Urgent Medical Cases

According to Dr Eric Forsthoefel, there is an increase in the number of people seeking medical services in the emergency rooms without the necessary conditions such as critical medical issues and justifications from a medical practitioner. This is consistent with a research study conducted by the George Washington University and other private researchers. Moreover, the number seems to be increasing, and no legal method seems to be working to reduce or reverse the trend. Since the early 1990s, patients have preferred medical services in the emergency department rather than the primary care department, and the frequency seems to be increasing.

The problem is that this issue is stretching the resources in the emergency department such that they are used for other purposes other than the intended one which is caring for the individuals with the acute need of emergency medications. All the resources set aside to cater for the needs of the emergency department are used to cater to people whose conditions cannot be considered urgent. It is that the number of people in need of emergency services might equal those with actual needs of the emergency department, which could prove to be to be critical to most of the medical care organizations around the country.

In several research studies conducted to determine the reasons as to why many people prefer the needs of the emergency department for medical conditions that can be said no to be urgent, the results found are consistent with the findings of Dr Eric Forsthoefel. One of the findings is that individuals prefer to get the services of a medical practitioner within the shortest time possible, which is difficult to get into the primary care department. They are left with no option but to seek for such services in the emergency department, why medical professionals are available on a twenty-four-hour basis.

However, other issues play a critical role in determining why people request for the services of the emergency medical department for non-urgent situations. One such issue is that low-income patients, especially those who do not have medical insurance have a perception that they do not get the most appropriate services from the primary department. Some of them have gone further to highlight that there is no real connection between the primary caregivers and their patients. Overall, the situation can be reversed where people get the services in the departments where they are supposed to get them.

One of the primary methods that are currently being used to prevent people with non-urgent medical issues to visit the emergency department is employers refusing to pay for their employees. Recently, Anthem, the largest medical insurance provider in the United States, covers for one in eight of the covered people in the USA, is cutting payments for medical services in the emergency rooms in medical cases that have been classified as non-urgent. However, this strategy is being seen by many organizations as an attempt to lower the costs while at the same time increasing the profits of the medical insurance provider companies.

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