How much does Dupixent cost? How our information helps people appeal a denial

How much does Dupixent cost? How our information helps people appeal a denial

A friend writes: “I was fortunate to meet Jeanne at ClearHealthCosts, and with her assistance I was able to get Dupixent, an injected medication needed twice a month for my niece’s eczema. “Other medications did not treat this condition, and her doctor at Columbia Doctors Dermatology recommended this new medication. “We learned that the cost […]

Nonprofit hospitals get rich, while their communities don’t

Filed Under: Costs

Nonprofit hospitals get rich, while their communities don’t

Required reading: Here’s a Twitter thread about how non-profit hospitals get richer, while their communities stay poor. It’s a series over at Politico featuring Yale-New Haven, Cleveland Clinic and others, by the inimitable Dan Diamond. Here’s the link to his thread, which refers to the several stories. 

Arthritis drugs show companies’ price policies: Kaiser Health News

Arthritis drugs show companies’ price policies: Kaiser Health News

“Renda Bower knows well the cost of drugs to treat rheumatoid arthritis – her husband, son and daughter all have the painful, disabling autoimmune disease,” Julie Appleby writes over at Kaiser Health News, explaining the behind-the-scenes actions of drug makers and pharmacy benefit companies. “And the family’s finances revolve around paying for them. Even with […]

More honors: We’re named a top journalism collaboration of 2017

Filed Under: Costs

More honors: We’re named a top journalism collaboration of 2017

Our “Cracking the Code” collaboration has been named one of the year’s “notable collaborations” by Stefanie Murray at the Center for Cooperative Media at Montclair State University. Others: The Guardian, ProPublica, the Paradise Papers, the Midwest Center for Investigative Reporting. “As the number of partnerships happening across the journalism industry increases, the journalism being produced out […]

Politics, lobying, hospital behavior and health care spending: NBER study

Politics, lobying, hospital behavior and health care spending: NBER study

“When trying to pass sweeping legislation, congressional leaders can attract votes by adding targeted provisions that steer money toward the districts of reluctant legislators,” Zack Cooper, Amanda E. Kowalski, Eleanor N. Powell and Jennifer Wu write in a National Bureau of Economic research paper in August 2017 examining the link between legislative politics, hospital behavior, […]

We’re ‘Wow-worthy changemakers,’ honored by ‘O, the Oprah magazine’

Filed Under: Costs, Patients

We’re ‘Wow-worthy changemakers,’ honored by ‘O, the Oprah magazine’

Our CEO, Jeanne Pinder, has been named a “Wow-Worthy Changemaker” and a “Health Hero” at “O, the Oprah Magazine” for her work at ClearHealthCosts. The piece is in the January 2018 issue of the Oprah Winfrey publication, where 14 people with health missions are featured —  an oncologist, a tween activist, a doctor who cares […]

Louisiana Legislature passes consumer protection bill in the wake of our ‘Cracking the Code’ work

Filed Under: Costs, Patients, Providers

Louisiana Legislature passes consumer protection bill in the wake of our ‘Cracking the Code’ work

A bill requiring that people be notified in advance of potential balance billing at a health care facility in Louisiana passed the Legislature in Baton Rouge and was signed into law by the governor. While we aren’t able to say that our work in New Orleans was the cause of the bill’s passage, we did […]

MedPage Today’s ‘dinner table’ stories: Do readers really know what they’re being served? – HealthNewsReview.org

Filed Under: Costs, Health plans, Patients

MedPage Today’s ‘dinner table’ stories: Do readers really know what they’re being served? – HealthNewsReview.org

“On November 8, MedPage Today, one of the nation’s most widely read physician news sites, published a scathing critique of insurance industry functionaries headlined ‘Who is actually reviewing all those pre-authorization requests?’” Mary Chris Jaklevic and Kevin Lomangino write over at Health News Review. “The post was the most popular article on the site for more […]

Who reviews those preauthorization requests: Medpage Today

Filed Under: Costs, Health plans, Patients

Who reviews those preauthorization requests: Medpage Today

“Several months ago, I was invited to give a presentation about heart failure to a group of physicians who meet every month for a lunch meeting,” Milton Packer writes over at MedPage Today. “Don’t worry. No company sponsored the talk, and I did not receive any payment. I accepted the invitation, because it seemed like […]