The average American spends around $1,000 a year on health care. And then there are the platinum patients. The Atlantic

Filed Under: Costs, Health plans, Patients

The average American spends around $1,000 a year on health care. And then there are the platinum patients. The Atlantic

“Each year, 1 in every 20 Americans racks up just as much in medical bills as another 19 combined,” Andrew McGill writes in The Atlantic, in a piece that documents health spending patterns among Americans. “This critical 5 percent of the U.S. population is key to solving the nation’s health care spending crisis. If you’re […]

How much do allergy tests cost? One woman’s reporting

Filed Under: Costs, Health plans, Patients

How much do allergy tests cost? One woman’s reporting

A friend said recently that she needed to get allergy tests in the New York area, but she wasn’t certain they would be covered under her insurance. She was planning to make inquiries, and I asked her to keep notes. I told her I’d post them without using her name. She writes: I’ve gotten around to culling […]

Appealing a denial, or how to turn ‘no’ into ‘yes’: Part 3 of our series on billing

Appealing a denial, or how to turn ‘no’ into ‘yes’: Part 3 of our series on billing

So your insurance company denied a treatment or a medication, in advance, and you want help. This is part of our series on billing advice (see below for other entries.) Here are a few steps. Understand the reason for the denial. Ask that it be clearly stated, in writing, and that the appeal process for […]

Hey, Humana! Can we help you figure out how much an X-ray costs?

Hey, Humana! Can we help you figure out how much an X-ray costs?

Humana, the big health insurer, came visiting the other day to ask ClearHealthCosts how much an X-ray costs. They spent 8 minutes and 46 seconds reading this blog post. You can see on the screenshot here of our analytics program. Interestingly, they came to us via the sketchy informationvine.com search. They came lots of other […]

A behind-the-scenes look at how contracts are made in health care

Filed Under: Costs, Health plans, Patients

A behind-the-scenes look at how contracts are made in health care

“An Open Letter to My Patients Who Have Insurance Coverage Through EMI” is the headline of the blog post, by Randy G. Delcore, M.D., medical director, Cedar Orthopaedic Surgery Specialty Clinic, on the  Cedar Orthopaedic Surgery Center web site, describing to patients the end of a contract with an insurer. The blog post ends with […]

How ClearHealthCosts Helped New Orleans Newsrooms Save Money for Readers

How ClearHealthCosts Helped New Orleans Newsrooms Save Money for Readers

“During a 2013 Morning Edition broadcast, Brian Lehrer and Soterios Johnson asked female listeners to complete a survey on the WNYC website on the cost of routine mammograms,” Bianca Fortis writes about us over at MediaShift, the destination site for insight and analysis at the intersection of media and technology.  “The appeal was part of a collaboration with […]

Yes, of course, people ARE shopping for health care. And they are saving money.

Yes, of course, people ARE shopping for health care. And they are saving money.

Every time people try to tell us that no one is shopping for health care, we object. People are shopping for health care. It’s surprising that  so many people cannot see this. A pair of recent studies concluded that little or no active or effective shopping around is getting done. Both are described on the blog of the […]

Top 10 health conditions costing organizations the most: HuffPost

Filed Under: Costs, Health plans, Patients

Top 10 health conditions costing organizations the most: HuffPost

“More than 30 million people, or 9.4 percent of the U.S. population, have been diagnosed with diabetes, according to the Centers for Disease Control and Prevention National Diabetes Statistics Report, 2017,” writes Julie Stich over at HuffPost. “Managing this epidemic is a growing concern for workplaces — Not only are employers thinking about the well-being […]

How to read a bill or explanation of benefits: Know the tricks

Filed Under: Costs, Health plans, Patients

How to read a bill or explanation of benefits: Know the tricks

The insurance company’s “explanation of benefits” explains nothing. In fact it often confuses matters more. Also: People believe their insurance companies are paying more than they really are, because quite often the explanation of benefits leads to that conclusion. When I founded this company, in fact, a major impetus was the fact that no one […]