Finance issue brief: emergency care.
Under what circumstances is an enrollee in a managed care plan eligible to exercise judgment as a "prudent layperson" in determining that an emergency medical condition exists?  Does his or her condition justify immediate attention without prior authorization, even if it means an emergency room visit or dialing 911?
Stauffer
M
M
Plaza
C I
CI
D004632:Emergency Medical Services / Q000331:legislation & jurisprudence; D049673:History, 20th Century; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000266:history / Q000331:legislation & jurisprudence; D008329:Managed Care Programs; D013219:State Government; D014481:United States