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June 27, 2018: A-4207, the Medicaid Emergency Room Triage Bill: Key Considerations from N.J. Healthcare and Patient Advocates

Healthcare advocates are raising questions about the impact on patients of a bill pending before Gov. Murphy that would cut payments to hospitals and emergency department physicians when Medicaid patients come to the ED for needs that end up being non-emergencies.

The bill, A-4207, establishes an emergency room triage payment of $140 for ED cases that are deemed “low-acuity.” The payment would apply to services delivered to Medicaid fee-for-service patients. Hospital EDs care for all patients who walk through their doors, and often times the symptoms that bring a patient to the ED – chest pains, for example – don’t always signal clearly whether it’s a health emergency. In addition, patients weigh many valid factors when choosing the ED or another setting of care for their healthcare needs. Read More.


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