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Anthem Indiana’s ED “Downgrade” Policy Found to “Clearly” Violate Federal Law

An arbitrator has ordered that Anthem Insurance Company, Inc. (“Anthem”) pay a group of 11 acute care hospitals in Indiana (“hospitals”) $4.5 million as compensation for adopting a policy of processing claims for emergency services that the arbitrator found is a “clear” violation of federal and state law.
Member

Regulatory Advisory: CMS’s Proposed Guidance on Ligature Risk

The Issue