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 […]

The myth of drug expiration dates: ProPublica

Filed Under: Costs, Health plans, Patients

The myth of drug expiration dates: ProPublica

“The box of prescription drugs had been forgotten in a back closet of a retail pharmacy for so long that some of the pills predated the 1969 moon landing,” Marshall Allen writes at ProPublica. “Most were 30 to 40 years past their expiration dates — possibly toxic, probably worthless. But to Lee Cantrell, who helps […]

Top secret no longer: What insurers pay, and what it means for you

Filed Under: Costs, Health plans, Patients

Top secret no longer: What insurers pay, and what it means for you

One of the biggest secrets in health care is the rates that insurance companies pay providers. One insurer might pay one provider $2,400 for an MRI and a different provider $400 — in the same locale and for the same MRI. But we rarely see documentation of that, because the rates are kept secret. So […]

Pharmacies morph into primary-care health destinations: HealthPopuli.com

Filed Under: Costs, Health plans, Patients

Pharmacies morph into primary-care health destinations: HealthPopuli.com

“The business and mission of pharmacies are being re-shaped by several major market forces, most impactful being uncertain health reform prospects at the Federal level — especially for Medicaid, which is a major payor for prescription drugs,” Jane Sarasohn-Kahn writes over at Health Populi. “Medicaid covered 14% of retail prescriptions dispensed in 2016, according to QuintilesIMS; […]

One company behind those surprise emergency room bills: The New York Times

Filed Under: Costs, Health plans, Patients

One company behind those surprise emergency room bills: The New York Times

“Early last year, executives at a small hospital an hour north of Spokane, Wash., started using a company called EmCare to staff and run their emergency room. The hospital had been struggling to find doctors to work in its E.R., and turning to EmCare was something hundreds of other hospitals across the country had done,” […]