Meet my friend in the billing office, Part 2

Meet my friend in the billing office, Part 2

Did you ever wonder why the bill from your medical provider is $3,000, while the insurance company pays only a paltry few hundred dollars? There’s a reason. Walk with me through the billing office of a self-standing New York radiology center with my friend S. (Here’s our first visit to her office, complete with her […]

The Day: Payments denied, reform

Filed Under: Costs, Health plans, Patients

The Day: Payments denied, reform

Insurance companies deny payments for treatments doctors recommend, with increasing frequency. “Last month insurance tried to deny another patient of mine an in-hospital kidney biopsy after three years of multiple hospital admissions for uncontrolled hypertension. Finally after approval, the biopsy revealed a condition called IgA nephropathy that was responsible for her kidney dysfunction and high […]

If you’re uninsured, Part 2: The options

If you’re uninsured, Part 2: The options

Welcome to Part 2 of our handbook for people who are uninsured. We’re planning several articles in this series, much as we have started publishing our “Ways to Save” series, and we’ll then  archive them on the site. Here’s Part I of the uninsured series. The best way to start shopping for insurance is to know […]

Around the marketplace: Quick hits

Filed Under: Costs, Health plans

Around the marketplace: Quick hits

  I just picked up a prescription for one of my twin daughters. The CVS pharmacy first thought the prescription was for her twin sister, who’s in their computer; the charge was $10. When the person at the counter finally figured out it was a different daughter, who wasn’t in the computer, and changed the […]

The day: Costs of treatment and surgery, Canada, Medicare

Filed Under: Costs, Health plans, Patients

The day: Costs of treatment and surgery, Canada, Medicare

“Physicians don’t see the price tags and they never get the bill. Doctors are the true consumers of health care dollars, but the rules of economics falter when the consumers aren’t the ones that pay up. This disconnect is a fundamental cause of the uncontrollable inflation of health care costs in the US. Ignorance about […]

Doctors, costs and the system

Doctors, costs and the system

Cost-effective health care is something everybody wants, but it’s also something that is opposed by a lot of parties to the conversation for different reasons, a topic explored in a recent article in the New England Journal of Medicine by Victor R. Fuchs, Ph.D., and Arnold Milstein, M.D., M.P.H. Insurance companies don’t want to standardize […]