To establish a program to review, deny, and deal with appeals of denials is an additional administrative cost that provides no patient benefit or actual medical care. A program that is sustainable and improves quality of care as proposed by WA-ACEP is the right answer.
Harm to the working poor
Shifting the burden of emergency care from the state health plan to the working poor that already suffer from problems of lack of access, challenges with employers and excused absences, and limited finances is unjust. We can do better for the citizens of Washington."
As the WA-ACEP awaits a ruling on its request for the injunction, the chapter on Sunday proposed several alternatives that it believes will reduce the cost of care and reduce "perceived overutilization" and inappropriate use of the ED without imposing arbitrary caps of three patient visits for Medicaid patients.
Among the premises behind the group's proposal is that much of the avoidable use of the ED is because of the lack of patients' access to primary care providers and because of the patients' own substance abuse issues.