Gregory Pimstone, a health care lawyer based in Los Angeles and head of the healthcare law group at national law firm Manatt, calls for a substantial change in emergency room administration and reimbursement. He says that the process of determining payment for emergency medical care at an ‘out-of-network emergency room is devastating, especially when a patient visits a hospital that does not have a contract with the patient’s insurance company. A Gap in the Law The law requires that they are taken to the nearest ER when one is injured, even if that ER is not contracted with the patient’s…
An Irrational System: Gregory Pimstone on Paying for Out-of-Network Emergency Care
