EmblemHealth Commercial Plan: new faciliry transfer policy

This new policy applies to transfer of patient from one acute facility to another one for the same related care.


What is new?

  • The transferring acute care facility will no longer recieve reimbursement for day  of discharge/transfer
  • No outlier payments will be added under the per diem reimbursement methodology.
  • No reimbursement for Inpatient same day transfers, as defined under under the transfers within 24 hours.
  • Effective Date is 7/15/26

For the complete new reimbursement policy, click here.


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