Georgia has among highest hospital prices, new review suggests: Georgia Health News

Filed Under: Costs, Health plans, Patients

Georgia has among highest hospital prices, new review suggests: Georgia Health News

“A recently published analysis of hospital prices shows Georgia in the top third among 25 states studied,” Andy Miller writes over at Georgia Health News about a Rand study that dives deep into high hospital prices nationwide. The original study is here. “The Rand Corp. data uses prices paid by health insurers under employer-based coverage, […]

Opinion | Democrats are having the wrong health care debate: The New York Times

Opinion | Democrats are having the wrong health care debate: The New York Times

“As this week’s Democratic debates made clear, the party is divided on how to improve health care for Americans,” Ezekiel J. Emanuel wrote over at The New York Times. “Bernie Sanders, Elizabeth Warren and others are for a single-payer Medicare for All system. Joe Biden, Pete Buttigieg, Amy Klobuchar and others want an incremental approach […]

Top kidney charity directed aid to patients at DaVita and Fresenius clinics, lawsuit claims: The New York Times

Filed Under: Costs, Health plans, Patients

Top kidney charity directed aid to patients at DaVita and Fresenius clinics, lawsuit claims: The New York Times

“One of the nation’s largest public charities steered financial aid to patients of its two biggest corporate donors — the dialysis chains DaVita and Fresenius — while denying help to people who used smaller, unrelated clinics, in violation of anti-kickback laws, according to a federal whistle-blower lawsuit unsealed this week in Boston,” Reed Abelson and […]

How much does childbirth and delivery cost? For her, it was $3,318.18. And the baby paid $2,780.56.

Filed Under: Costs, Health plans, Patients

How much does childbirth and delivery cost? For her, it was $3,318.18. And the baby paid $2,780.56.

How much does childbirth and delivery cost? One community member reported paying $2,418.38 for antepartum care, vaginal delivery and postpartum care, and $899.80 for the hospital part of the experience. I asked for more details 1. This was the entire bill for antepartum, delivery and postpartum care? Also, did they ask for installments before, or […]

Politicians tackle surprise bills, but not the biggest source, ambulances: The New York Times

Filed Under: Costs, Health plans, Patients

Politicians tackle surprise bills, but not the biggest source, ambulances: The New York Times

“After his son was hit by a car in San Francisco and taken away by ambulance, Karl Sporer was surprised to get a bill for $800,” Sarah Kliff and Margot Sanger-Katz write for The New York Times. “Mr. Sporer had health insurance, which paid for part of the ride. But the ambulance provider felt that […]

Even researchers don’t know which doctors Medicare Advantage covers: The New York Times

Filed Under: Costs, Health plans, Patients

Even researchers don’t know which doctors Medicare Advantage covers: The New York Times

“If you try to use Medicare Advantage, figuring out which doctors are available (and where) can be exceedingly difficult, if not impossible,” Austin Frakt writes over at The New York Times. “Medicare Advantage is the government-subsidized, private alternative to the traditional public Medicare program. It has had strong enrollment growth for years. That growth has […]

How much do fertility meds cost? Or how to shop around and get the most for your buck on Gonal-F, Menopur, Cetrotide, Ovidrel, Follistim etc.

Filed Under: Costs, Health plans, Patients

How much do fertility meds cost? Or how to shop around and get the most for your buck on Gonal-F, Menopur, Cetrotide, Ovidrel, Follistim etc.

How can you save money on fertility medications for in-vitro fertilization (IVF)  and other assisted reproductive technologies, like intrauterine insemination (IUI), egg freezing, donor eggs and so on? We’ve been hearing a lot about rising costs for these procedures, and particularly about the medications, despite insurance. A couple of stories came our way. This post […]

Individual insurance market performance in early 2019: The Henry J. Kaiser Family Foundation

“The early years of the Affordable Care Act (ACA) exchanges and broader ACA-compliant individual market were marked by volatility. Markets in some parts of the country have remained fragile, with little competition, an insufficient number of healthy enrollees to balance those who are sick, and high premiums as a result,” Rachel Fehr, Cynthia Cox and […]

So, Trump says he wants health cost transparency. What’s up with that?

So, Trump says he wants health cost transparency. What’s up with that?

So the Trump Administration issued an executive order on June 24, 2019, saying that it would set in place a process to make health prices available to consumers. Historically, of course, the prices people will pay to the doctor or hospital have been shrouded in secrecy — characterized as “trade secrets” by the hospitals, insurers […]

Behind the scenes at a health insurer: How the money is made, or why the Medical Loss Ratio matters

Behind the scenes at a health insurer: How the money is made, or why the Medical Loss Ratio matters

A contributor to one of my online communities, Scott Haas, wrote this to the group the other day in the context of what happens behind the scenes in health insurance. His note primarily concerns the Medical Loss Ratio formula and the way it was changed by the Affordable Care Act — and the role of […]