Hospital association lawsuit targets Blue Cross for what it says are costly delays in granting nursing home and other 'step down' placements
This week, the California Hospital Association sued Anthem Blue Cross, the state's largest health insurance company, alleging that the health care giant takes far too long to approve placement in skilled nursing and other sorts of 'post-acute' settings, causing an estimated 4,500 Californians to languish in emergency departments and hospital beds 'waiting for their insurers to approve and arrange for their discharge.
'That is abused by insurance companies every day with their denials, delays failure to have 24/7 staff available to give authorizations for care while hospitals operate 24/7,' Van Gorder said. 'The insurance companies don't have sufficient networks under contract to take patients ready for discharge immediately.' Delays can be longest in hospitals' behavioral health units.
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