Minnesota ACEP sent me the following correspondence and I thought some of
you down-trodden "providers" may be interested. At one time someone on this
list was collecting "bad outcomes" under managed care. Listed on this letter
are the names of folkes to forward your lists to.
I don't want to be a provider, I want to be a physician....and yes there is
Dear MNACEP Member:
The ACEP Legislative Office in Washington, D.C. has asked that the following
information be passed on to our membership immediately.
NEWS FLASH! . . . U.S. Representative Benjamin L. Cardin (D-3rd MD) met with
ACEP representatives to finalize details on introducing in Congress
ACEP-proposed legislation to address major managed care issues that
emergency physicians and patients are trying to resolve. This landmark
legislation, "Access to Emergency Medicine Services Act of 1995," will
apply to all health plans, including Medicare and Medicaid. Some provisions
of the bill are the prudent layperson definition of an emergency as enacted
in the State of Maryland; payment for COBRA services required (payment for
the screening exam); and a mandate that plans be available 24 hours a day,
seven days a week to make prior authorization determinations. The bill also
specifies timely authorization (30 minutes or less) decision for
non-emergency services that are identified as a result of the required
screening exam. It also prohibits plans from requiring preauthorization for
emergency services and from discouraging appropriate use of the 9 l l
emergency telephone number.
John Scott, Director of Government Affairs, notes that passing this
legislation will require a joint effort between national, chapters and
individual members of the College, as well AS a strong public relations
effort. This bill is scheduled to be introduced this week in the House by
Representative Cardin. Senator Barbara Mikulski (D-MD) is expected to take
similar action in the Senate in the near future. For more information,
contact John Scott or Lee Godown in the DC office at 800-320-0610.
URGENT REQUEST . . . To support the efforts on the managed care legislation,
the Public Relations and Government Affairs Departments urgently need the
names of actual patients who have been adversely affected by managed care
policies. If you have the names of the patients who would be willing to
discuss what happened to them, please call Jane Howell or John Scott in the
DC office. ACEP's ability to produce patients willing to speak about their
experiences with managed care will enhance the success of this legislation.
We hope you will help with the efforts in DC. THANK YOU!
Andy Boggust, M.D.
112 Beech Street
Mankato, MN 56001
E-mail: [log in to unmask]